Kristian D Mendyk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC18538 Issued in CA

Practice address

1688 N Perris Blvd Ste G2
Perris, CA 92571-4744

Phone

(951) 943-1722

Fax

(951) 943-3133

NPI assigned

Jul 10, 2006

Last updated

Jul 8, 2007By 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 CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mendyk Chiropractic, Inc

  • Chiropractor
  • Perris, CA
  • NPI 1972622280
  Medicare reassignment
• Mendyk Chiropractic, Inc

  • Chiropractor
  • Moreno Valley, CA
  • NPI 1346369667
  NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750315677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 N PERRIS BLVD STE G2",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925714744",
            "telephone_number": "951-943-1722",
            "fax_number": "951-943-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 N PERRIS BLVD STE G2",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925714744",
            "telephone_number": "951-943-1722",
            "fax_number": "951-943-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDYK",
        "first_name": "KRISTIAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC18538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert David Melton, M.A., CCC-A
• Rossette S Mendoza Estrada
• Bernadette Mendoza
• Robert Cruz Mendoza II, AMFT
• Mendyk Chiropractic, Inc
• Menifee Medical Corporation
• Patricia Mercado, DDS
• Mercer and Pham Dental Corporation (Crossing Dental Group and Orthodontics)
• Justin William Mercer, D.D.S.
• Bertha Catalina Merino, B.A.

• Chiropractor in Perris, CA
• Providers in Perris, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.