Tom Menendez Enterprises, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TOM MENENDEZ ENTERPRISES, INC.

Practice address

101 Heritage SQ
Sellersburg, IN 47172-1863

Phone

(812) 246-2225

Fax

(812) 243-0943

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Thomas Allen Menendez, DCNPI 1649336207

Title

Owner

Phone

(812) 246-2225

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Tax ID family

Advantage Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advantage Chiropractic

  • Chiropractor
  • Georgetown, IN
  • NPI 1669691770
  NPD tax ID

Locations

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

• Thomas Allan Menendez, DC

  • Chiropractor
  • Sellersburg, IN
  • NPI 1649336207
  Medicare reassignment NPD Authorized official
• Todd A Black, DC

  • Chiropractor
  • Louisville, KY
  • NPI 1073658688
  NPD (past)
• Ryan Paul Muller, DC

  • Chiropractor
  • Wichita, KS
  • NPI 1114981719
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302393600000",
    "number": "1619001971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HERITAGE SQ",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721863",
            "telephone_number": "812-246-2225",
            "fax_number": "812-243-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HERITAGE SQ",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721863",
            "telephone_number": "812-246-2225",
            "fax_number": "812-243-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM MENENDEZ ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-04-10",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-246-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000075222",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100384510B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200414900A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Sellersburg, IN
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.