Individual provider Active NPI

Ivette Mendez, DC

  • Chiropractor
  • Hallandale Beach, FL
National Provider Identifier
1558913152
Registry record updated Jul 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12869 Issued in FL
Practice address
1250 E Hallandale Beach Blvd Ste 305
Hallandale Beach, FL 33009-4644
Phone
(754) 231-8338
NPI assigned
Jul 12, 2019
Last updated
Jul 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12869 FL Primary

Addresses

Primary practice location

1250 E Hallandale Beach Blvd Ste 305
Hallandale Beach, FL 33009-4644

Mailing address

7000 Island Blvd Apt 304
Aventura, FL 33160-2406
Phone (630) 656-7829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH12869FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Spine and Performance LLC CurrentSince Jul 25, 2019 Accepting new patients

Locations

1250 E Hallandale Beach Blvd
Ste 305
Hallandale Beach, FL 33009
Phone (754) 231-8338

Organizations & group practices 1

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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562976000000",
    "number": "1558913152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 ISLAND BLVD APT 304",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602406",
            "telephone_number": "630-656-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD STE 305",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094644",
            "telephone_number": "754-231-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2019; 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.