Frank A Mendoza, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D7424 Issued in OR

Practice address

Warm Springs Indian Health Service Dental Clinic
1270 Kot-Num Road
Warm Springs, OR 97761

Phone

(541) 553-2462

Fax

(541) 553-2619

NPI assigned

Dec 22, 2006

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891850749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 NE KIM LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016054",
            "telephone_number": "541-317-0863",
            "fax_number": "541-317-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WARM SPRINGS INDIAN HEALTH SERVICE DENTAL CLINIC",
            "address_2": "1270 KOT-NUM ROAD",
            "city": "WARM SPRINGS",
            "state": "OR",
            "postal_code": "97761",
            "telephone_number": "541-553-2462",
            "fax_number": "541-553-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "FRANK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D7424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Locker, MD
• Lisa Majewski, RN, PHD
• Shanalee H Manzano, RN
• Marc Robert Mason, RN
• Christine Meier, RD
• Cristina D Miraflor, RN
• Zella Moore, NP
• Susan M Murphy, FNP
• Kyle Candice Mushkin
• Bridget Arrah-Etchu Obi, DNP

• Pediatric Dentistry in Warm Springs, OR
• Providers in Warm Springs, OR by specialty
• Pediatric Dentistry in Oregon

• 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.