Pedro G. Mendoza M.D. P.C.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

5553 Issued in ND

Legal business name

PEDRO G. MENDOZA M.D. P.C.

Doing business as

Pneumos Lung and Sleep Specialist

Practice address

300 W Century Ave
Bismarck, ND 58503-1401

Phone

(701) 323-9900

Fax

(701) 323-9911

NPI assigned

May 10, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Pedro G Mendoza, M.D.NPI 1609825132

Title

Doctor

Phone

(701) 323-9900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pneumos Lung and Sleep Specialist Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pedro G Mendoza, M.D. FCCP

  • Pulmonary Disease Physician
  • Bismarck, ND
  • NPI 1609825132
  NPD (past) Authorized official

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1700836160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CENTURY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031401",
            "telephone_number": "701-323-9900",
            "fax_number": "701-323-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CENTURY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031401",
            "telephone_number": "701-323-9900",
            "fax_number": "701-323-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO G. MENDOZA M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "701-323-9900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "ND",
            "license": "5553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00001966",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "N7112610",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pneumos Lung and Sleep Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peake OT Myofascial Release (Peake OT)
• Michelle M Peake, OTR/L
• Abby Pechota
• Monique Alexandra Pederson
• Pedro G Mendoza MD PC (Pneumos Lung and Sleep Specialists)
• Roger Morris Peet, LAC
• Emma Pelach, LMSW
• Allison Evelyn Peltier, D.N.P, FNP-C
• Pelvic Flow PT
• Danette Pengilly, GNP-C

• Multi-Specialty Clinic/Center in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Multi-Specialty Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.