David F Mendoza, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6448 Issued in KS

Practice address

3124 S Seneca St
Wichita, KS 67217-3244

Phone

(316) 522-6791

NPI assigned

Jul 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 KS

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

Practice roles

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.

• David F Mendoza DMD

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1518208776
  Authorized official Same address or phone
• Gracemed Health Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1184691693
  NPD (past)
• Gracemed Health Clinic, Inc

  dba GraceMed Mother Mary Anne Clinic

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1275893224
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548280308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 S SENECA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672173244",
            "telephone_number": "316-522-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 S SENECA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672173244",
            "telephone_number": "316-522-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "DAVID",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goretti Mendez Vallejo, LMSW
• Leticia Mendez-Noriega, PHARMD
• Juan Pablo Mendez, C.R.N.A.
• Rocio S Mendez, PHARM.D.
• Amber Mendoza, MOTR/L
• Valerie Sincerly Mendoza, LPN
• Cherrianna Meneses, COTA/L
• Sara Elaine Meng, DDS PA
• Jason James Menges, PA-C
• Barbara Sue Menninga, L.C.P.C.

• General Practice Dentistry in Wichita, KS
• Providers in Wichita, KS by specialty
• General Practice Dentistry in Kansas

• 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.