NPI age
— years
Enumerated 2025-09-16
● Active Type 2 · Organization
Subpart
Tx Southern Dental Ppo Pc
Tx Southern Dental Ppo Pc is 1 of 9237 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Menjivar
SR. Credentialing Manager
Last NPPES update
2025-09-16
Source: monthly bulk 2026-05
How this organization compares
Across 9237 active dentist providers in Texas.
NPI age
0 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-09Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
975 W John Carpenter Fwy Ste 115
Irving, TX 750392512
Mailing address
5830 Granite Pkwy Ste 780
Plano, TX 750246775
Authorized official
Erika Melissa Menjivar
SR. Credentialing Manager
📞 4695966137
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Cosmetic Family Dentistry of Las Colinas
Practice context
Single-site organization. Only one practice location on file.
Subpart of Tx Southern Dental Ppo Pc.
Provyx · Custom healthcare lists
Need all 9237 Dentist providers in Texas?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.