Organization Active NPI

Daniel B. Mendoza, D.D.S., Inc.

  • General Practice Dentistry
  • Redwood City, CA
National Provider Identifier
1487081915
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DANIEL B. MENDOZA, D.D.S., INC.
Practice address
133 Arch St
Suite #1
Redwood City, CA 94062-1379
Phone
(650) 474-0932
Fax
(650) 474-0938
NPI assigned
Sep 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Dr. Daniel Mendoza, D.D.S.NPI 1235346859
Title
President
Phone
(650) 474-0932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

133 Arch St
Suite #1
Redwood City, CA 94062-1379

Mailing address

133 Arch St
Suite #1
Redwood City, CA 94062-1379
Phone (650) 474-0932

National Provider Directory

National Provider Directory

Locations

133 Arch St
Ste 1
Redwood City, CA 94062
Phone (650) 474-0932

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1487081915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ARCH ST",
            "address_2": "SUITE #1",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621379",
            "telephone_number": "650-474-0932",
            "fax_number": "650-474-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ARCH ST",
            "address_2": "SUITE #1",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621379",
            "telephone_number": "650-474-0932",
            "fax_number": "650-474-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL B. MENDOZA, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-474-0932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.