Individual provider Active NPI

Manuel M Mendez, D.C.

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1538283270
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000000681 Issued in TN
Practice address
710 Merchants Dr
Knoxville, TN 37912-3806
Phone
(865) 687-7246
Fax
(865) 688-7965
NPI assigned
Mar 19, 2007
Last updated
Mar 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0000000681 TN Primary

Addresses

Primary practice location

710 Merchants Dr
Knoxville, TN 37912-3806

Mailing address

710 Merchants Dr
Knoxville, TN 37912-3806
Phone (865) 687-7246

Other identifiers 1

IdentifierTypeStateIssuer
0112478OtherTNBC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120620000664 TN Practitioner - Chiropractic 5597929836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

710 Merchant Dr
Knoxville, TN 37912-3868
Phone (865) 687-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0000000681TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Margata Incorpation Chiropractor CurrentSince Apr 15, 2012 Accepting new patients
Zalmac Inc Chiropractor Past Accepting new patients

Locations

710 Merchant Dr
Knoxville, TN 37912
Phone (865) 687-7246

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1538283270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MERCHANTS DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379123806",
            "telephone_number": "865-687-7246",
            "fax_number": "865-688-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MERCHANTS DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379123806",
            "telephone_number": "865-687-7246",
            "fax_number": "865-688-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "MANUEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000000681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "0112478",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.