Walter Enrique Mendoza, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

010611 Issued in NY

Practice address

31 Guy Lombardo Ave
Freeport, NY 11520-3632

Phone

(516) 213-4610

Fax

(516) 213-4819

NPI assigned

Mar 29, 2007

Last updated

Nov 7, 2025By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Walter E. Mendoza Chiropractor, P.C

  • Sports Physician Chiropractor
  • Freeport, NY
  • NPI 1629198908
  Authorized official Same address or phone
• Wem Diagnostic Chiropractic Services PC

  • Rehabilitation Chiropractor
  • Freeport, NY
  • NPI 1942576210
  Authorized official Same address or phone
• Diaspo Chiropractic & Physical Therapy, PLLC

  • Physical Therapist
  • Queens Village, NY
  • NPI 1487826004
  NPD (past)
• Freeport Pain Managment PC.

  • Specialist
  • Freeport, NY
  • NPI 1164751533
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1780703538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 GUY LOMBARDO AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203632",
            "telephone_number": "516-213-4610",
            "fax_number": "516-213-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 GUY LOMBARDO AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203632",
            "telephone_number": "516-213-4610",
            "fax_number": "516-213-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "WALTER",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "010611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Melenciano, LPN
• Andres Mauricio Melo, RPAC, MPAS
• Damian B Menard
• Miriam C Mendez, LCSW
• Steven Sean Mendez, MSW
• Anika Merchants
• Richard James Messina, RPH
• MGM Professional Care Services LLC.
• Martin G Miller, D.P.M.
• Mind Unwind Mental Health Counseling PLLC

• Sports Physician Chiropractor in Freeport, NY
• Providers in Freeport, NY by specialty
• Sports Physician Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.