MPD Bender Terrace of Lubbock LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MPD BENDER TERRACE OF LUBBOCK LLC

Practice address

4510 27TH St
Lubbock, TX 79410-1709

Phone

(806) 795-4368

Fax

(806) 795-1189

NPI assigned

Sep 1, 2017

Organization subpart

No

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

Authorized official

Name

Dawne Smith

Title

Manager

Phone

(318) 812-2140

Specialties & licenses 1

Addresses

Other names 2

• Bender Terrace Doing business as
• Bender Terrace of Lubbock Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Perez Mendez, M.D.

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1649433863
  NPD (past)

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457879124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914415",
            "telephone_number": "318-812-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 27TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101709",
            "telephone_number": "806-795-4368",
            "fax_number": "806-795-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPD BENDER TERRACE OF LUBBOCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAWNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-812-2140"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bender Terrace",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bender Terrace of Lubbock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mia Mowzoon, MD
• Annie Lin Moy, DO
• Adrianna Gregoria Moya, LMSW
• Leroy Moye, HIS
• Lisa Marie Moyers
• MPS Home Therapies, PLLC
• MRI Central Lubbock Inc
• MRI Central Lubbock LLC
• Mta Ambulance Service of Lubbock, LLC
• MTR Management Group LLC

• Skilled Nursing Facility in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.