Thomas Allan Menendez, DC
Individual provider Active NPI Chiropractor · Sellersburg, IN
NPI 1649336207 · NPPES record last updated Oct 10, 2013
Key facts
- NPI
- 1649336207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08001272A (IN)
- Practice address
- 101 Heritage SQ
Sellersburg, IN 47172-1863 - Phone
- (812) 246-2225
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 Heritage SQ
Sellersburg, IN 47172-1863
Phone (812) 246-2225
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051028000201 | IN | Practitioner - Chiropractic | 3577510106 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Chiropractic | Chiropractor | Current | Accepting new patients |
| Tom Menendez Enterprises, Inc. | Chiropractor | Current |
Accepting new patients |
Locations
101 Heritage Sq
Sellersburg, IN 47172
Phone (812) 246-2225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001272A | IN | Yes |
Addresses
Primary practice location
101 Heritage SQ
Sellersburg, IN 47172-1863
Mailing address
101 Heritage SQ
Sellersburg, IN 47172-1863
Phone (812) 246-2225
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100384510 | Medicaid | IN | |
| 000000256243 | Other | IN | ANTHEM BCBS |
| 000000075222 | Other | IN | ANTHEM BCBS |
Other providers in Sellersburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.