Damian Mendoza, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301401276 Issued in MI

Practice address

2400 Northern Visions Dr
Traverse City, MI 49684-7034

Phone

(231) 846-8897

NPI assigned

Aug 10, 2022

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 MI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shift Chiropractic PLCGroup PAC ID 6608127808, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Shift Chiropractic, PLC

  • Chiropractor
  • Traverse City, MI
  • NPI 1770087199
  Medicare reassignment Care Compare group NPD
• Well-Spring Psychiatry, P.C.

  • Psychiatry Physician
  • Traverse City, MI
  • NPI 1922112077
  NPD (past)

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1427786201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NORTHERN VISIONS DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847034",
            "telephone_number": "231-846-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NORTHERN VISIONS DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847034",
            "telephone_number": "231-846-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "DAMIAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Meis, PA-C
• Madison Meister Meister
• Shawne Louise Mellios, CASE MANAGER
• Memory and Movement Disorders Clinic, PLLC
• Michelle Mendelsohn, MASTERS
• Shenna Meredith, NP
• Rosanne Marie Merica-Wanamaker
• Sierra Merrifield
• Rachel Marie Merrill, PT, DPT
• Angela Lynn Merriman, LPC

• All providers in Traverse City, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.