Tx Southern Dental Ppo PC
Tx Southern Dental Ppo PC is a healthcare organization registered as Dentist in Buda, TX, holding Type 2 (organization) NPI 1194601328 since 2025. The authorized official on file is Erika Menjivar, Sr. Credentialing Specialist.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1194601328 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Tx Southern Dental Ppo PC |
| Parent organization | Tx Southern Dental Ppo PC |
| Practice address | 108 S MAIN ST, Buda, TX, 78610 |
| Phone | 5122959925 |
| Enumeration date | 2025-08-13 |
| Last updated in NPPES | 2025-08-13 |
Authorized official
| Name | Erika Menjivar |
|---|---|
| Title | Sr. Credentialing Specialist |
| Phone | 4695966137 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | — | — |
Copy-ready billing details
Provider: Tx Southern Dental Ppo PC NPI: 1194601328 Taxonomy: 122300000X (Dentist) Address: 108 S MAIN ST, Buda, TX, 78610
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124056676 | Carol Evans | Individual | General Practice Dentistry | Buda, TX |
| 1679651194 | Justin Koen | Individual | General Practice Dentistry | Buda, TX |
| 1770193070 | Evans/Koen Main St Dental Pllc | Organization | Dental Clinic/Center | Buda, TX |
Verify this record
Cross-check NPI 1194601328 against the authoritative CMS record: view Tx Southern Dental Ppo PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Tx Southern Dental Ppo PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-08-13.