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CARLOS MEDELLIN
NPI 1063176311
Dental Assistant in Houston, TX

Active since October 23, 2021
2302 KEYHOLE LN, HOUSTON, TX 77084(281) 647-6656 Get Directions Write a Review

NPPES record last updated: October 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carlos Medellin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLOS MEDELLIN (NPI 1063176311) is an individual dental assistant in Houston, Texas and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1063176311
Entity TypeIndividualMale
Primary Taxonomy126800000X
Provider Legal NameCARLOS MEDELLIN
Location Address2302 KEYHOLE LNHouston, TX 77084-5262
Mailing Address2302 Keyhole LnHouston, TX 77084-5262 · (281) 647-6656
Phone(281) 647-6656
Sole ProprietorYes
Enumeration DateOctober 23, 2021
NPPES CertifiedOctober 23, 2021
✔ NPI 1063176311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
2302 KEYHOLE LN, Houston, TX 77084
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Medellin's NPI number?

The NPI number for Carlos Medellin is 1063176311. It was assigned to this individual provider in the NPPES registry on October 23, 2021.

Where is Carlos Medellin located?

Carlos Medellin practices at 2302 Keyhole Ln, Houston, TX 77084. The listed phone number is (281) 647-6656.

What is Carlos Medellin's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Carlos Medellin was last updated on October 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.