Active NPI
Mendoza Foot & Ankle Center PC
Doing business as Nashville Podiatry
- Podiatrist
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DPM000000442
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Mendoza, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3352215 | Medicaid | TN |
Other names 1
- Nashville Podiatry
National Provider Directory
National Provider Directory- Tax ID family
- Mendoza Foot Ankle Center PC
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.
-
- Foot & Ankle Surgery Podiatrist
- Hendersonville, TN
- NPI 1902883465
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.