Organization Active NPI

Mendoza Foot & Ankle Center PC

  • Foot & Ankle Surgery Podiatrist
  • Gallatin, TN
National Provider Identifier
1053502252
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM442 Issued in TN
Legal business name
MENDOZA FOOT & ANKLE CENTER PC
Practice address
336 Sumner Hall Dr
Gallatin, TN 37066-3129
Phone
(615) 452-8899
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daniel Mendoza, DPM
Title
President
Phone
(615) 452-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X DPM442 TN Primary

Addresses

Primary practice location

336 Sumner Hall Dr
Gallatin, TN 37066-3129

Mailing address

336 Sumner Hall Dr
Gallatin, TN 37066-3129
Phone (615) 452-8899

Other identifiers 1

IdentifierTypeStateIssuer
3352215MedicaidTN

National Provider Directory

National Provider Directory

Locations

353 New Shackle Island Rd
#20A
Hendersonville, TN 37075

510 Hospital Dr
Ste 290
Madison, TN 37115
Phone (615) 860-2660

3443 Dickerson Pike
Ste 500
Nashville, TN 37207
Phone (615) 860-1772

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1053502252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 SUMNER HALL DR",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663129",
            "telephone_number": "615-452-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 SUMNER HALL DR",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663129",
            "telephone_number": "615-452-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOZA FOOT & ANKLE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-452-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3352215",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.