Luis M Mendonca

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3086 Issued in MA

Practice address

344 Broadway
Revere, MA 02151-5016

Phone

(503) 449-9745

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mendonca Chiropractic

  • Chiropractor
  • Revere, MA
  • NPI 1164570925
  NPD (past) Authorized official Chiropractor

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144338013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 BRISTOL AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028612240",
            "telephone_number": "503-449-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 BROADWAY",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021515016",
            "telephone_number": "503-449-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDONCA",
        "first_name": "LUIS",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Theresa McHugh, NP
• Barbara McIsaac, RN,CDE
• Mehdi Rahmatpour DMD LLC
• Janna Melzer
• Mendonca Chiropractic
• Vanessa Mervin
• Metro Transport Services LLC
• Metropolitan Chiropractic
• MGH Revere Healthcare Centre
• Suejona Miah

• All providers in Revere, MA
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.