Gerald Wayne Mendes Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31833 Issued in CA

Practice address

1895 Mowry Ave
Suite 119
Fremont, CA 94538-1737

Phone

(510) 794-8255

Fax

(510) 794-8371

NPI assigned

Apr 30, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1740456664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7223",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945377223",
            "telephone_number": "510-794-8255",
            "fax_number": "510-794-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 MOWRY AVE",
            "address_2": "SUITE 119",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381737",
            "telephone_number": "510-794-8255",
            "fax_number": "510-794-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDES",
        "first_name": "GERALD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melodia Care Inc
• John Melone, MD
• Megan K Melton
• Rabia Qadir Memon, DMD
• Richard Mark Mendenhall, CRNA
• Karina Mendez Martinez
• Irene Mendez Ortega
• Jessica K Mendez-Magallon
• Autumn Marie Mendez, RN
• Lindsay Mendez

• General Practice Dentistry in Fremont, CA
• Providers in Fremont, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.