Kendell a. Mendonca DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

20084 Issued in CA

Legal business name

KENDELL A. MENDONCA DC

Practice address

1699 E Prosperity Ave
Tulare, CA 93274-2344

Phone

(559) 686-2600

NPI assigned

Jul 15, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Natalie Frazier

Title

Secretary

Phone

(559) 686-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Kendell A. Mendonca, D.C.

  • Chiropractor
  • Tulare, CA
  • NPI 1558392084
  NPD (past)

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1619265394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 E PROSPERITY AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742344",
            "telephone_number": "559-686-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 E PROSPERITY AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742344",
            "telephone_number": "559-686-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDELL A. MENDONCA DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "559-686-2600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4589128",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rachel King Kawagoe, DO
• Kaweah Delta Health Care District
• Kaweah Delta Health Care District
• Christina Lynn Keller, LCSW
• Angela Raquel Kelley
• Kenneth W Pierson DDS Inc
• Kenneth W, Pierson DDS Inc.
• Kaila Keovilaysane
• Gaige M Kerns
• Keung B. Kim, M.D., Inc

• Chiropractor in Tulare, CA
• Providers in Tulare, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.