Active NPI
Omar Anthony Mendez, DDS
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1881897262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21805
- Practice address
- 7320 N Mopac
#200
Austin, TX 78731 - Phone
- (512) 345-5885
- Fax
- (512) 345-5647
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22983 | WI | |
| General Practice Dentistry | 1223G0001X | 21805 | TX | Primary |
Addresses
Primary practice location
7320 N Mopac
#200
Austin, TX 78731
Mailing address
7320 N Mopac
#200
Austin, TX 78731
Phone (512) 345-5885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22983 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital City Smiles, PLLC | General Practice | Past | Accepting new patients |
| Waldorf Dental, PLLC | Past | Accepting new patients |
Interoperability endpoints
- anthony.mendez.p2@direct.chdi.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Austin, TX
- NPI 1649190471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1881897262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 N MOPAC",
"address_2": "#200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78731",
"telephone_number": "512-345-5885",
"fax_number": "512-345-5647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320 N MOPAC",
"address_2": "#200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78731",
"telephone_number": "512-345-5885",
"fax_number": "512-345-5647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "OMAR",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "22983",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "21805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.