Candis Rae Mendoza, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10945 Issued in TX

Practice address

2706 Bill Owens Pkwy
Longview, TX 75605-2136

Phone

(903) 759-7595

NPI assigned

Sep 29, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hunter Chiropractic Health Center Inc

  • Chiropractor
  • Longview, TX
  • NPI 1710058276
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1891945747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 BILL OWENS PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052136",
            "telephone_number": "903-759-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 BILL OWENS PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052136",
            "telephone_number": "903-759-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "CANDIS",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE NPI",
            "identifier": "1710058276",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne M Meek, MD
• Karthik Diwakar Mekala, M.D.
• Brenna Kaylynn Melchor
• Rita Amarisa Melgoza
• Brian Mendenhall, MD
• Jazmin Merriman
• Daniel B Merritt, MD
• Mesa Spine Solutions, PLLC
• Michael Meschke, M.D.
• Metx, LLC (Miracle Ear Center)

• Chiropractor in Longview, TX
• Providers in Longview, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.