Hema V Menon, B.D.S, M.S.D

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

S30 Issued in MN

Practice address

393 Dunlap St N
Central Medical Building, Suite #100
Saint Paul, MN 55104-4200

Phone

(651) 646-1318

Fax

(651) 642-2592

NPI assigned

Mar 4, 2010

Last updated

Jan 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Menon Periodontics and Implants, LLC

  • Periodontics
  • West Saint Paul, MN
  • NPI 1225425309
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1891018842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N",
            "address_2": "CENTRAL MEDICAL BUILDING, SUITE #100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044200",
            "telephone_number": "651-646-1318",
            "fax_number": "651-642-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N",
            "address_2": "CENTRAL MEDICAL BUILDING, SUITE #100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044200",
            "telephone_number": "651-646-1318",
            "fax_number": "651-642-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "HEMA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "B.D.S, M.S.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MN",
            "license": "S30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lea Menk, BS
• Theresa Menke, RDN
• Trisha Menke, N.P.
• Kimberly Menne
• Laura Hope Menne, LPCC
• Menopause Center of Minnesota
• Stephanie Mensah, RN
• Mental Health Resources
• Mental Health Resources, Inc.
• Mental Health Resources, Inc.

• Periodontics in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Periodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.