MECCA DENTAL PLLC
NPI 1457034241
Dentist - General Practice in Friso, TX
About Mecca Dental Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MECCA DENTAL PLLC (NPI 1457034241) is a healthcare organization registered as a general practice in Friso, Texas and active in the NPI registry since August 2023. The organization lists Sulmaan Ahmed Farooqui, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mecca Dental Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mecca Dental PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mecca Dental PLLC's NPI number?
The NPI number for Mecca Dental PLLC is 1457034241. It was assigned to this organization in the NPPES registry on August 9, 2023.
Where is Mecca Dental PLLC located?
Mecca Dental PLLC is located at 12955 Main Street Suite #100, Friso, TX 75035. The listed phone number is (469) 920-8858.
What is Mecca Dental PLLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Mecca Dental PLLC enrolled in Medicare?
Yes. Mecca Dental PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mecca Dental PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Mecca Dental PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mecca Dental PLLC was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mecca Dental Pllc · NPI 1457034241
General Practice organization in Friso, Texas. Organization record, active in the CMS NPPES registry since August 9, 2023.
## Identity
- **NPI:** 1457034241 (Entity type: Organization)
- **Enumerated:** August 9, 2023
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Organization subpart:** No
- **Authorized official:** Sulmaan Farooqui, MANAGER
## Practice location
- **Address:** 12955 MAIN STREET, SUITE #100, Friso, TX 75035
- **Phone:** (469) 920-8858 · **Fax:** (469) 903-0005
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1457034241) · Data from the CMS NPPES public registry.