Derrick David Mendez, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6102 Issued in AL

Practice address

19330 Highway 139
Brierfield, AL 35035-3658

Phone

(205) 665-2723

NPI assigned

Jun 25, 2014

Last updated

Aug 29, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1689089906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19330 HIGHWAY 139",
            "city": "BRIERFIELD",
            "state": "AL",
            "postal_code": "350353658",
            "telephone_number": "205-665-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19330 HIGHWAY 139",
            "city": "BRIERFIELD",
            "state": "AL",
            "postal_code": "350353658",
            "telephone_number": "205-665-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "DERRICK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Access Vision Mobile Eye Clinic
• Brierfield Fire and Rescue, Inc.
• Katherine Fuller
• Genesis Dental Group Brierfield PC
• Jamie Acre Rogers, LICSW
• S.M. Mahan L.L.C
• The Bibb County Health Care Authority (BMC Brierfield)
• Treetop Transportation

• General Practice Dentistry in Brierfield, AL
• Providers in Brierfield, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.