Jose Mendoza Flores Jr.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

44293 Issued in CO

Practice address

400 Benedicta Ave
Ste a
Trinidad, CO 81082-2089

Phone

(719) 846-2206

Fax

(719) 846-7823

NPI assigned

May 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jose.flores.1@5071.direct.athenahealth.com

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.

• Trinidad Area Health Association

  • Critical Access Hospital
  • Trinidad, CO
  • NPI 1184616740
  Medicare reassignment NPD
• Trinidad Area Health Association

  • Family Medicine Physician
  • Trinidad, CO
  • NPI 1467400309

  Pediatrics

  Medicare reassignment NPD
• Trinidad Area Health Association

  • Orthopaedic Surgery Physician
  • Trinidad, CO
  • NPI 1548965999
  NPD

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1265481410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BENEDICTA AVE",
            "address_2": "STE A",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822089",
            "telephone_number": "719-846-2206",
            "fax_number": "719-846-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BENEDICTA AVE",
            "address_2": "STE A",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822089",
            "telephone_number": "719-846-2206",
            "fax_number": "719-846-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JOSE",
        "middle_name": "MENDOZA",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "44293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Ferguson
• Sara Jan Ferguson, OTR/L
• Robert David Fiorenzi, RPH
• Fisher'S Peak Chiropractic Center
• Fishers Peak Dentistry PLLC
• Focus Training, Inc.
• Front Range Primary Care Partners LLC
• Michael J E Fyffe, OTR
• Michaela Anne Gaffen Stone, BCBA
• Nikolai Gammage, PTA

• Pediatrics Physician in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.