Active NPI
Armani Mendoza
- Dentist
- Yakima, WA
National Provider Identifier
1801315304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60781897
- Practice address
- 601 N Keys Rd
Yakima, WA 98901-1172 - Phone
- (509) 225-3389
- Fax
- (509) 494-1049
- NPI assigned
- Sep 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60781897 | WA | Primary |
Addresses
Primary practice location
601 N Keys Rd
Yakima, WA 98901-1172
Mailing address
601 N Keys Rd
Yakima, WA 98901-1172
Phone (509) 225-3389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180117002578 | WA | Order and Referring Only - Dentist | 3870852940 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60781897 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1801315304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N KEYS RD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989011172",
"telephone_number": "509-225-3389",
"fax_number": "509-494-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N KEYS RD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989011172",
"telephone_number": "509-225-3389",
"fax_number": "509-494-1049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "ARMANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-15",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60781897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.