Kevin Jonelle Mendez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557999 Issued in VA

Practice address

11350 Random Hills Rd Ste 300
Fairfax, VA 22030-7421

Phone

(703) 373-7113

NPI assigned

Mar 23, 2023

Last updated

Mar 16, 2026By 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 DC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lee DC Active Family WellnessGroup PAC ID 7012377492, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Active Family Wellness PLLC

  dba Westfields Family Chiropractic

  • Chiropractor
  • Fairfax, VA
  • NPI 1629680079

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1689377236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 RANDOM HILLS RD STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307421",
            "telephone_number": "703-373-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 RANDOM HILLS RD STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307421",
            "telephone_number": "703-373-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "KEVIN",
        "middle_name": "JONELLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-23",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mena Home Healthcare Services, LLC
• Richard Scott Mendelsohn, DPM
• Karen Mendez Gomez, LPC
• Amanda Mendez, L
• Claudia Mendez
• Sonia Mendoza
• Tiffany Ann Pastors Mendoza, FNP
• Mental Health Services En Espanol LLC (Victoria Transcultural Clinical Center LLC)
• Mental Health Therapy Center - Northern Virginia, LLC
• Jose Antonio Mercado, CRNA

• Chiropractor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.