Leonardo Mendez MD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

0101052239 Issued in VA

Legal business name

LEONARDO MENDEZ MD PC

Practice address

1635 N George Mason Dr
Suite 470
Arlington, VA 22205-3601

Phone

(703) 522-9090

Fax

(703) 522-9096

NPI assigned

Jan 3, 2011

Last updated

Jan 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leonardo Mendez, M.D.NPI 1164441408

Title

President

Phone

(703) 522-9090

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonardo Mendez, M.D.

  • Gastroenterology Physician
  • Arlington, VA
  • NPI 1164441408

  DC

  Medicare reassignment NPD Authorized official
• Enid C. Colon, D.D.S

  • General Practice Dentistry
  • Arlington, VA
  • NPI 1487884383
  NPD (past)

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1104120351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N GEORGE MASON DR",
            "address_2": "SUITE 470",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053601",
            "telephone_number": "703-522-9090",
            "fax_number": "703-522-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N GEORGE MASON DR",
            "address_2": "SUITE 470",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053601",
            "telephone_number": "703-522-9090",
            "fax_number": "703-522-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARDO MENDEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-522-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0101052239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6060609",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Paul Lennon, MA, LPC
• Sydney Lenz
• Nicholas Everett Leon-Guerrero, D.D.S.
• Laura Andrea Leon, LBA, BCBA
• Leonard Muse Trading As Green Valley Pharmacy
• Martin Frederick Less, D.D.S., M.P.H.
• William David Lessne, DDS
• Melissa Anne Leupp, OTR L
• Lauren Levine, PSYD
• Leanne Silverman Levine, NP-C

• Medical Specialty Clinic/Center in Arlington, VA
• Providers in Arlington, VA by specialty
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.