Tx Southern Dental PC
NPI 1750248423ActiveOrganization· Dentist· Round Rock, TX
Dentist in Round Rock, Texas, registered in NPPES in January 2026, part of Tx Southern Dental PC. The authorized official on file is Erika Melissa Menjivar, Sr. Credentialing Specialist.
Overview
| NPI | 1750248423 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Tx Southern Dental PC |
| NPI issued | Jan 6, 2026 |
| Last updated in NPPES | Jan 6, 2026 |
| Certified by provider | Jan 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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