Individual provider Active NPI

Susana Elena Mendez, L.AC, LCDC

  • Acupuncturist
  • Dallas, TX
National Provider Identifier
1760547053
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00939 Issued in TX
Practice address
14114 Dallas Pkwy Ste 245
Dallas, TX 75254-1331
Phone
(214) 566-0149
NPI assigned
Dec 27, 2006
Last updated
May 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5991 TX
Acupuncturist 171100000X AC00939 TX Primary

Addresses

Primary practice location

14114 Dallas Pkwy Ste 245
Dallas, TX 75254-1331

Mailing address

50 Patrick CT
Van Alstyne, TX 75495-3456
Phone (214) 566-0149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5991TXMDAddiction (Substance Use Disorder) Counselor
AC00939TXMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1760547053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PATRICK CT",
            "city": "VAN ALSTYNE",
            "state": "TX",
            "postal_code": "754953456",
            "telephone_number": "214-566-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14114 DALLAS PKWY STE 245",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752541331",
            "telephone_number": "214-566-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "SUSANA",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "L.AC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "5991",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.