Organization Active NPI

Mendoza Foot & Ankle Center PC

Doing business as Nashville Podiatry

  • Podiatrist
  • Nashville, TN
National Provider Identifier
1265941447
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM000000442 Issued in NU
Legal business name
MENDOZA FOOT & ANKLE CENTER PC
Doing business as
Nashville Podiatry
Practice address
3443 Dickerson Pike Ste 500
Nashville, TN 37207-2599
Phone
(615) 860-8282
Fax
(615) 860-8258
NPI assigned
Sep 20, 2017
Last updated
Sep 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Authorized official

Name
Daniel Mendoza, DPMNPI 1902883465
Title
President
Phone
(615) 452-8899

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
Podiatrist 213E00000X DPM000000442 NU Primary

Addresses

Primary practice location

3443 Dickerson Pike Ste 500
Nashville, TN 37207-2599

Mailing address

336 Sumner Hall Dr
Gallatin, TN 37066-3129
Phone (615) 452-8899

Other identifiers 1

IdentifierTypeStateIssuer
3352215MedicaidTN

Other names 1

  • Nashville Podiatry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mendoza Foot Ankle Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

336 Sumner Hall Dr
Gallatin, TN 37066
Phone (615) 452-5479

Practitioners & affiliated clinicians

Practitioners 1

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": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1265941447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 SUMNER HALL DR",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663129",
            "telephone_number": "615-452-8899",
            "fax_number": "615-452-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072599",
            "telephone_number": "615-860-8282",
            "fax_number": "615-860-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOZA FOOT & ANKLE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-452-8899",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": "DPM000000442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3352215",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nashville Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.