Individual provider Active NPI

Juan Manuel Mendez, M.D.

  • Occupational Medicine Physician
  • Irving, TX
National Provider Identifier
1265785562
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
G39089 Issued in CA
Practice address
7750 N Macarthur Blvd
Suite 120-345
Irving, TX 75063-7514
Phone
(214) 986-4900
Fax
(972) 432-8015
NPI assigned
Oct 24, 2012
Last updated
Oct 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 038370 CT
Occupational Medicine Physician 2083X0100X G39089 CA Primary

Addresses

Primary practice location

7750 N Macarthur Blvd
Suite 120-345
Irving, TX 75063-7514

Mailing address

7750 N Macarthur Blvd
Suite 120-345
Irving, TX 75063-7514
Phone (214) 986-4900

Other names 1

  • Dr. John M Mendez Professional name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
038370CTMDInternal Medicine Physician
G39089CAMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1265785562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 N MACARTHUR BLVD",
            "address_2": "SUITE 120-345",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637514",
            "telephone_number": "214-986-4900",
            "fax_number": "972-432-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 N MACARTHUR BLVD",
            "address_2": "SUITE 120-345",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637514",
            "telephone_number": "214-986-4900",
            "fax_number": "972-432-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "038370",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G39089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "MENDEZ",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.