Active NPI
Irving Mendozaluna, X2
- Dental Hygienist
- Fort Sill, OK
National Provider Identifier
1952112401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- Practice address
- 605 Randolph Rd
Fort Sill, OK 73503-4535 - Phone
- (580) 442-5925
- NPI assigned
- Jan 15, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | Primary |
Addresses
Primary practice location
605 Randolph Rd
Fort Sill, OK 73503-4535
Mailing address
605 Randolph Rd
Fort Sill, OK 73503-4535
Phone (580) 442-5925
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1952112401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 RANDOLPH RD",
"city": "FORT SILL",
"state": "OK",
"postal_code": "735034535",
"telephone_number": "580-442-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 RANDOLPH RD",
"city": "FORT SILL",
"state": "OK",
"postal_code": "735034535",
"telephone_number": "580-442-5925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZALUNA",
"first_name": "IRVING",
"credential": "X2",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-15",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.