Individual provider Active NPI

Catherine Mychelle Mendez, DC

  • Chiropractor
  • Bonham, TX
National Provider Identifier
1215764899
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16188 Issued in TX
Practice address
2620 N Center St Ste 103a
Bonham, TX 75418-2149
Phone
(903) 213-2017
NPI assigned
Sep 17, 2024
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16188 TX Primary

Addresses

Primary practice location

2620 N Center St Ste 103a
Bonham, TX 75418-2149

Mailing address

2620 N Center St Ste 103a
Bonham, TX 75418-2149
Phone (903) 213-2017

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107001924 TX Practitioner - Chiropractic 0749714137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Pure Family Chiropractic LLCGroup PAC ID 7416371869, 2 clinicians

Practice addresses (Care Compare)

2620 N Ctr St
Suite 103a
Bonham, TX 75418-2149
Phone (903) 213-2017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Family Chiropractic, LLC Chiropractor CurrentSince Oct 29, 2024 Accepting new patients
Cutting Edge Medical LLC PastSince Sep 23, 2024 Accepting new patients

Locations

2620 N Center St
Ste 103A
Bonham, TX 75418
Phone (903) 213-2017

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1215764899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 N CENTER ST STE 103A",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754182149",
            "telephone_number": "903-213-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 N CENTER ST STE 103A",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754182149",
            "telephone_number": "903-213-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "CATHERINE",
        "middle_name": "MYCHELLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.