Vincent Joseph Mendes III, D. C. – Chiropractor

Key facts

NPI: 1184797201
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: 2430 (SC)
Practice address: 2516 East Highway 76
Marion, SC 29571
Phone: (843) 423-4263
Fax: (843) 431-9400
NPI assigned: Nov 16, 2006
Sex: Male
Sole proprietor: Yes

Organizations & group practices 2

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.

Alternative Health Clinic Acupuncturist · Myrtle Beach, SC · NPI 1609808609

NPD (past)
Marion Chiropractic Center Chiropractor · Marion, SC · NPI 1164562252

NPD (past) CHIROPRACTOR

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
2430	SC	MD	Occupational Therapist

Practice roles

Organization	Specialty	Status	New patients
Alternative Health Clinic		Past	Accepting new patients
Marion Chiropractic Center	Chiropractor	Past since Jul 1, 2003	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	2430	SC	Yes

Addresses

Primary practice location

2516 East Highway 76
Marion, SC 29571

Mailing address

2516 East Highway 76
PO Box 833
Marion, SC 29571
Phone (843) 423-4263

Other identifiers

Identifier	Type	State	Issuer
CH2430	Medicaid	SC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184797201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 EAST HIGHWAY 76",
            "address_2": "PO BOX 833",
            "city": "MARION",
            "state": "SC",
            "postal_code": "29571",
            "telephone_number": "843-423-4263",
            "fax_number": "843-431-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 EAST HIGHWAY 76",
            "city": "MARION",
            "state": "SC",
            "postal_code": "29571",
            "telephone_number": "843-423-4263",
            "fax_number": "843-431-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDES",
        "first_name": "VINCENT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2430",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, SC

All providers in Marion, SC · Chiropractor in South Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.