JOHNATHON MENDOZA (NPI# 1386015170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386015170 |
| Entity Type | Individual |
| Full Name | JOHNATHON MENDOZA |
| Credential | DDS |
| Practice Address |
2260 Linda Ave Odessa TX 79763-2661 |
| Practice Telephone | 4323334867 |
| Mailing Telephone | 7024066126 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 31510 | TX | Dental Providers |
| Street Address |
2260 LINDA AVE |
| City | ODESSA |
| State | TX |
| Zip Code | 79763-2661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689773574 | Russell D Subia | Optometrist | 2260 Linda Ave, Ste. 201, Odessa, TX 79763-2663 | 2006-09-21 |
| 1063813061 | Davood Talebiquje | Dentist | 2260 Linda Ave, Suite 103, Odessa, TX 79763-2661 | 2014-09-09 |
| 1033394432 | Subia Eye Center Pllc | Optometrist | 2260 Linda Ave, Ste. 201, Odessa, TX 79763-2663 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164885 | Mary Ewusie | Pharmacist | 2450 West Loop 3378, Odessa, TX 79763 | 2020-11-03 |
| 1982231569 | Yashica Patel | Student in an Organized Health Care Education/Training Program | 701 W. 5th St, Suite 1229, Odessa, TX 79763 | 2020-03-24 |
| 1144740457 | Devi Priya Suravajjala | Student in an Organized Health Care Education/Training Program | 701,w 5th Street, Odessa, TX 79763 | 2017-06-27 |
| 1649640392 | Elesea Celeste Villegas | Physician Assistant | 701 West 5th Street, Odessa, TX 79763 | 2015-10-06 |
| 1790046472 | Kathryn Nichole Hutton | Obstetrics & Gynecology | 701 W 5th Street, Odessa, TX 79763 | 2012-05-30 |
| 1962761791 | Marvin Ryan Harvey | Family Medicine | 701 W 5th St Ste 3174, Odessa, TX 79763 | 2012-05-14 |
| 1245529544 | Yvette Garcia | Counselor | 1012 W Macarthur, Odessa, TX 79763 | 2011-04-07 |
| 1386973873 | Patty Denise Pena | Pharmacist | 1305 W County Rd, Odessa, TX 79763 | 2009-12-14 |
| 1508002262 | Javier E Espinoza | Physician Assistant | 1220 W. University, Odessa, TX 79763 | 2008-12-31 |
| 1952584690 | J A Mayans Md Pa | Ophthalmology | 907 W Second St, Odessa, TX 79763 | 2007-12-17 |
| Find all providers in zip 79763 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A 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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421381 | Samir Barsoum | Dentist | 2638 Gunn Hwy, Odessa, FL 33556-2541 | 2020-06-11 |
| 1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
| 1831683168 | Gregg Liedtka Dmd Pllc | Dentist | 20 W 1st Ave, Odessa, WA 99159 | 2018-06-20 |
| 1295229722 | Daniel Darius Johnson | Dentist | 6109 E Highway 191, Odessa, TX 79762-5348 | 2018-06-18 |
| 1356899116 | Brittany Nalley | Dentist | 12456 State Road 54, Odessa, FL 33556-3477 | 2016-09-21 |
| 1588112338 | East Odessa Dental and Orthodontics Pllc | Dentist | 4901 E 42nd St Spc B, Odessa, TX 79762-7241 | 2016-09-21 |
| 1215481866 | Stephen Weiss Boyles | Dentist | 3930 Tanglewood Ln, Odessa, TX 79762-7165 | 2016-08-12 |
| 1760835359 | Jeremy A. Denman | Dentist | 8151 Dorado Dr, Odessa, TX 79765-8533 | 2016-07-19 |
| 1275824880 | Chrissorne Rameau | Dentist | 4901 E 42nd St, Odessa, TX 79762-7241 | 2011-04-29 |
| 1801054044 | Odessa Mall Fdc Pa | Dentist | 4101 E 42nd, Ste B23, Odessa, TX 79762-7239 | 2008-05-23 |
| Find all providers in ODESSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.