Sandra Mendoza, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

10601 S Avenue E
Chicago, IL 60617-6316

Phone

(773) 978-5828

NPI assigned

May 21, 2007

Sex

Female

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)

Not 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 and National Provider Directory roles.

• Family Dental Care

  • Dentist
  • Chicago, IL
  • NPI 1942573605
  NPD (past)
• Family Dental Care of the East Side

  • Dentist
  • Chicago, IL
  • NPI 1902016520
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780893404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 S AVENUE E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 S AVENUE E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176316",
            "telephone_number": "773-978-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "SANDRA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahneel Mendoza, P.T.
• Ramil Mendoza, PT
• Rebecca Mendoza, MPT
• Ricardo Y Mendoza, DDS., MS
• Richard Mendoza, MA
• Sophia Mendoza, MS, OTR/L
• Alaina Mendralla
• Mendwell Woundcare LLC
• Komaria Mendy
• Paul Mendyk, PHARMD

• Dental Hygienist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Hygienist in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.