Mendez Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MENDEZ MEDICAL, LLC

Doing business as

Mendez Medical, LLC

Practice address

209 W Broadway Ave
Elk City, OK 73644-4741

Phone

(580) 303-9275

Fax

(580) 303-9236

NPI assigned

May 20, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Alex Mendez, RRT

Title

Owner

Phone

(580) 303-9275

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mendez Medical, LLC Doing business as

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1770718769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W. BROADWAY",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444741",
            "telephone_number": "580-303-9275",
            "fax_number": "580-303-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W BROADWAY AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444741",
            "telephone_number": "580-303-9275",
            "fax_number": "580-303-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDEZ MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-303-9275",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100796430A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mendez Medical, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina McWhorter
• Maria Meacham
• Gina L Meador, DPH
• Chelsea Y Medina
• Mendez Medical, LLC
• Tiffany Kamile Mendez
• Merritt Public School
• Michael D. Rader M.D., P.C.
• Michael Robinson Medical Clinic, LLC
• David John Miller, PT

• Durable Medical Equipment & Medical Supplies in Elk City, OK
• Providers in Elk City, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.