Tx Southern Dental PPO PC
NPI 1689355976ActiveOrganization· Dentist, General Practice· The Colony, TX
Dentist, General Practice in The Colony, Texas, registered in NPPES in July 2023, part of Tx Southern Dental PPO PC. The authorized official on file is Erika Melissa Menjivar, Sr. Credentialing Specialist.
Overview
| NPI | 1689355976 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Tx Southern Dental PPO PC |
| NPI issued | Jul 28, 2023 |
| Last updated in NPPES | Mar 17, 2026 |
| Certified by provider | Mar 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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