ARLEY MEDRANO DDS, MS
NPI 1669953774
Dentist - Pediatric Dentistry in Ennis, TX

Q: What is Arley Medrano's NPI number?

The NPI number for Arley Medrano is 1669953774. It was assigned to this individual provider in the NPPES registry on August 27, 2018.

Q: What is Arley Medrano's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Arley Medrano was last updated on May 26, 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.

Active since August 27, 2018PECOS Enrolled

711 S CLAY ST STE A, ENNIS, TX 75119(972) 875-5437 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2023, Aug 10, 2022, Aug 27, 2018 (3 updates tracked since 2018).

On this page

About Arley Medrano Dds, Ms NPPES

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

ARLEY MEDRANO DDS, MS (NPI 1669953774) is an individual pediatric dentistry provider in Ennis, Texas, licensed in Texas (39259) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669953774

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameARLEY MEDRANOCredential: DDS, MS

Location Address711 S CLAY ST STE AEnnis, TX 75119-5748

Mailing Address2422 Glengariff DrDallas, TX 75228-2934 · (509) 322-5320

Phone(972) 875-5437

Sole ProprietorYes

Enumeration DateAugust 27, 2018

Last NPPES UpdateMay 26, 20233 updates tracked since enumeration

NPPES CertifiedMay 26, 2023

✔ NPI 1669953774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in TX · 39259✔ Licensed in WA · DE60884780

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License DE60884780 (WA)

711 S CLAY ST STE A, Ennis, TX 75119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arley Medrano Dds, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IKIDS PEDIATRIC DENTISTRY ENNIS, PLLC

Dentist (Pediatric Dentistry)

711 S CLAY ST STE A
ENNIS, TX 75119

Ellis County (682) 222-1010

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 Arley Medrano's NPI number?

The NPI number for Arley Medrano is 1669953774. It was assigned to this individual provider in the NPPES registry on August 27, 2018.

Where is Arley Medrano located?

Arley Medrano practices at 711 S Clay St Ste A, Ennis, TX 75119. The listed phone number is (972) 875-5437.

What is Arley Medrano's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Arley Medrano enrolled in Medicare?

Yes. Arley Medrano is registered in the Medicare PECOS enrollment system.

What insurance does Arley Medrano accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Premera Blue Cross Blue Shield of Alaska list Arley Medrano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Arley Medrano was last updated on May 26, 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.