Active NPI
Victor Mena, D.N.
- Naprapath
- Chicago, IL
National Provider Identifier
1215291182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naprapath
- License
- 181.000373
- Practice address
- 3410 W Montrose Ave
Chicago, IL 60618-1117 - Phone
- (773) 909-8467
- Fax
- (773) 463-0832
- NPI assigned
- Jun 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naprapath | 172P00000X | 181.000373 | IL | Primary |
Addresses
Primary practice location
3410 W Montrose Ave
Chicago, IL 60618-1117
Mailing address
3410 W Montrose Ave
Chicago, IL 60618-1117
Phone (773) 909-8467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181.000373 | IL | MD | Naprapath |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Naprapath
- Chicago, IL
- NPI 1306196639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340668800000",
"number": "1215291182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 W MONTROSE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181117",
"telephone_number": "773-909-8467",
"fax_number": "773-463-0832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 W MONTROSE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181117",
"telephone_number": "773-909-8467",
"fax_number": "773-463-0832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENA",
"first_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "D.N.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2012-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "172P00000X",
"taxonomy_group": "",
"desc": "Naprapath",
"state": "IL",
"license": "181.000373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.