Kevin C Mendes, D.D.S

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

040140782 Issued in VA

Practice address

8609 Sudley Rd
Suite #102
Manassas, VA 20110-8321

Phone

(703) 368-4725

NPI assigned

Nov 25, 2008

Last updated

Nov 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 60TH Dental Care

  • Dental Clinic/Center
  • Woodside, NY
  • NPI 1952130148
  NPD Authorized official
• Kevin Mendes, D.D.S. & Associates, P.L.L.C.

  • General Practice Dentistry
  • Manassas, VA
  • NPI 1316210792
  Authorized official Same address or phone

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1346495850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 SUDLEY RD",
            "address_2": "SUITE #102",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108321",
            "telephone_number": "703-368-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 SUDLEY RD",
            "address_2": "SUITE #102",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108321",
            "telephone_number": "703-368-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDES",
        "first_name": "KEVIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "040140782",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "050167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlando Yamir Melendez Miranda, LCSW
• Gary N Melnick, MD
• Christina Meluzio, PSYD
• Virgil Jeremiah Melvin, M.D.
• Andres Menacho
• Christine Joy Mendiola
• Ruth Obuobi Mensah, PHARMD
• Jacqueline Merced Gonzalez, DC
• Vonda Merrill
• Metropolitan Health Services

• Orthodontics and Dentofacial Orthopedics Dentistry in Manassas, VA
• Providers in Manassas, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.