Charles Robert Mendelson, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60556797 Issued in WA

Practice address

3452 40TH Ave SW
Seattle, WA 98116-3420

Phone

(206) 437-8073

NPI assigned

Jul 1, 2015

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1316320823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 QUEEN ANNE AVE N STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092876",
            "telephone_number": "206-679-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3452 40TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163420",
            "telephone_number": "206-437-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSON",
        "first_name": "CHARLES",
        "middle_name": "ROBERT",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60556797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Patricia Menchen, LICSW
• Sameer Kishen Menda, M.D.
• Shivali Agnani Menda, MD
• Rebecca Menday, PT, DPT
• Ali Marisa Mendelson, M.D.
• Tiffany A Mendenhall
• Daniela Patricia Mendez Faria
• Abigail Mendez
• Daniel Patricio Mendez, ARNP, DNP
• Jesse B Mendez

• Acupuncturist in Seattle, WA
• Providers in Seattle, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.