Active NPI
Terry Mendenhall, DC
- Chiropractor
- Riverside, CA
National Provider Identifier
1861938896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC9869
- Practice address
- 6391 Magnolia Ave
Riverside, CA 92506-2424 - Phone
- (951) 683-5838
- NPI assigned
- Jan 14, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC9869 | CA | Primary |
Addresses
Primary practice location
6391 Magnolia Ave
Riverside, CA 92506-2424
Mailing address
6391 Magnolia Ave
Riverside, CA 92506-2424
Phone (951) 683-5838
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9869 | CA | MD | Professional Counselor |
| DC9869 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484352000000",
"number": "1861938896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6391 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062424",
"telephone_number": "951-683-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6391 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062424",
"telephone_number": "951-683-5838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDENHALL",
"first_name": "TERRY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-14",
"last_updated": "2017-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC9869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.