Individual provider Active NPI

Thomas Allan Menendez, DC

  • Chiropractor
  • Sellersburg, IN
National Provider Identifier
1649336207
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001272A Issued in IN
Practice address
101 Heritage SQ
Sellersburg, IN 47172-1863
Phone
(812) 246-2225
NPI assigned
Dec 28, 2006
Last updated
Oct 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001272A IN Primary

Addresses

Primary practice location

101 Heritage SQ
Sellersburg, IN 47172-1863

Mailing address

101 Heritage SQ
Sellersburg, IN 47172-1863
Phone (812) 246-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051028000201 IN Practitioner - Chiropractic 3577510106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001272AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tom Menendez Enterprises, Inc. Chiropractor CurrentSince Jan 1, 1999 Accepting new patients
Advantage Chiropractic Chiropractor Current Accepting new patients

Locations

101 Heritage Sq
Sellersburg, IN 47172
Phone (812) 246-2225

Organizations & group practices 2

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1649336207",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENENDEZ",
        "first_name": "THOMAS",
        "middle_name": "ALLAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001272A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.