Organization Active NPI

Momentum Health Care PC

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1184829376
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5659 Issued in AZ
Legal business name
MOMENTUM HEALTH CARE PC
Practice address
7070 N Oracle Rd
Suite 130
Tucson, AZ 85704-4337
Phone
(520) 544-9696
Fax
(520) 544-8197
NPI assigned
Jun 18, 2007
Last updated
Sep 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Gary Brian Mendez, D.C.NPI 1629191259
Title
Owner
Phone
(520) 544-9696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5659 AZ Primary

Addresses

Primary practice location

7070 N Oracle Rd
Suite 130
Tucson, AZ 85704-4337

Mailing address

7070 N Oracle Rd
Suite 130
Tucson, AZ 85704-4337
Phone (520) 544-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618001089 AZ Part B Supplier - Clinic/Group Practice 4981689577 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

7070 N Oracle Rd
Ste 130
Tucson, AZ 85704
Phone (520) 544-9696

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1184829376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7070 N ORACLE RD",
            "address_2": "SUITE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044337",
            "telephone_number": "520-544-9696",
            "fax_number": "520-544-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 N ORACLE RD",
            "address_2": "SUITE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044337",
            "telephone_number": "520-544-9696",
            "fax_number": "520-544-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM HEALTH CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-544-9696",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.