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DR. ALISSA MEDINA DMD
NPI 1679711444
Dentist - General Practice in Conroe, TX

Active since January 31, 2009PECOS Enrolled
605 S CONROE MEDICAL DR, CONROE, TX 77304(936) 539-4004(936) 521-3964 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2026, Sep 16, 2019, Sep 17, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Alissa Medina Dmd NPPES

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

DR. ALISSA MEDINA DMD (NPI 1679711444) is an individual general practice provider in Conroe, Texas, licensed in Texas (26336) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679711444
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ALISSA MEDINACredential: DMD
Location Address605 S CONROE MEDICAL DRConroe, TX 77304-4722
Mailing Address605 S Conroe Medical DrConroe, TX 77304-4722 · (936) 539-4004 · Fax (936) 521-3964
Phone(936) 539-4004
Fax(936) 521-3964
Sole ProprietorNo
Enumeration DateJanuary 31, 2009
Last NPPES UpdateApril 23, 20264 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1679711444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 26336
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
605 S CONROE MEDICAL DR, Conroe, TX 77304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Dr. Alissa Medina Dmd 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 77304 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 20

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

RUSHAB HARSHADKUMAR PATEL MD
Hospitalist
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
SERGIO JASAEL GUTIERREZ MD
Student in an Organized Health Care Education/Training Program
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
CHANDANA CHITTURI MD
Family Medicine
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
AMANDA CHAU DO
Family Medicine
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
ADONAI NATALIA PAZ MD
Student in an Organized Health Care Education/Training Program
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
NICOLAS ALONSO DO
Student in an Organized Health Care Education/Training Program
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
JORGE CEA LPC
Counselor (Professional)
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
DANNY FARLEY M.D.
Family Medicine
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004

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 Alissa Medina's NPI number?

The NPI number for Alissa Medina is 1679711444. It was assigned to this individual provider in the NPPES registry on January 31, 2009.

Where is Alissa Medina located?

Alissa Medina practices at 605 S Conroe Medical Dr, Conroe, TX 77304. The listed phone number is (936) 539-4004.

What is Alissa Medina's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Alissa Medina enrolled in Medicare?

Yes. Alissa Medina is registered in the Medicare PECOS enrollment system.

What insurance does Alissa Medina accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 16 other insurers list Alissa Medina 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 Alissa Medina was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.