Luis I. Mendez, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37874 Issued in CA

Practice address

7824 Gerber Rd
Sacramento, CA 95828-4302

Phone

(916) 688-7500

Fax

(916) 682-9675

NPI assigned

Jan 25, 2007

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356497374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7824 GERBER RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958284302",
            "telephone_number": "916-688-7500",
            "fax_number": "916-682-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7824 GERBER RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958284302",
            "telephone_number": "916-688-7500",
            "fax_number": "916-682-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "LUIS",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gibran Aviel Mendez
• Jorge Herman Mendez
• Karol Jean Mendez, RN
• Leila Marie Mendez, MHAI
• Lizzeth Marie Mendez
• Maricela Mendez
• Sarahi Mendez
• Shanttelle Mendez
• Susan Mendez, PSY.D.
• Trisha Ann Mendez, MA

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.