Mending Spot, PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MENDING SPOT, PLLC

Practice address

3254 E Cactus Rd
Phoenix, AZ 85032-7233

Phone

(808) 457-5807

Fax

(480) 467-0248

NPI assigned

Oct 23, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Marc Raciti, PA-C

Title

Owner

Phone

(808) 457-5807

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1639645138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 E SAN BERNARDO DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582430",
            "telephone_number": "808-457-5807",
            "fax_number": "480-467-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3254 E CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327233",
            "telephone_number": "808-457-5807",
            "fax_number": "480-467-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING SPOT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "RACITI",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-457-5807",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Mendez
• Joseph Mendez
• Krystle Mendez
• Ralph Patrick Mendez, MD
• Christopher Mendias, PHD, ATC
• Diana E Mendivil
• Jose Mendivil
• Christopher Joseph Mendola, DC
• Ashley Mendoza Estrada
• Vivian Mendoza-Leon

• Multi-Specialty Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.