Certified Credentialing, LLC

Contractor · Dallas, TX

Organization Active NPI

NPI number 1235098385

Practice location

6036 Ridgecrest Rd Apt 106
Dallas, TX 75231-6735
Phone
(214) 444-8357

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NPI record

NPI
1235098385
Entity type
Organization (Type 2)
Enumeration date
January 15, 2026
Last updated
January 15, 2026
Certified
January 15, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X — —

Authorized official

Name
Juan Mendez
Title
Director of Credentialing
Phone
(971) 469-0000

About Certified Credentialing, LLC

Certified Credentialing, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 6036 Ridgecrest Rd Apt 106, Dallas, TX 75231-6735. The NPI number 1235098385 was assigned on January 15, 2026 and the record was last updated on January 15, 2026.

The authorized official for this organization is Juan Mendez, Director of Credentialing.

Frequently asked questions

What is the NPI number of Certified Credentialing, LLC?

The NPI number is 1235098385.

What is the phone number of Certified Credentialing, LLC?

The phone number listed for the practice location is (214) 444-8357.

Where is Certified Credentialing, LLC located?

6036 Ridgecrest Rd Apt 106, Dallas, TX 75231-6735.

What is the taxonomy code for Certified Credentialing, LLC?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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