Active NPI
Renata Marie Mendez, DC
- Sports Physician Chiropractor
- Bloomingdale, IL
National Provider Identifier
1912623976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 038.013919
- Practice address
- 148 S Bloomingdale Rd Ste 107
Bloomingdale, IL 60108-1491 - Phone
- (815) 341-7277
- NPI assigned
- Oct 12, 2022
- Last updated
- Mar 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 038.013919 | IL | Primary |
Addresses
Primary practice location
148 S Bloomingdale Rd Ste 107
Bloomingdale, IL 60108-1491
Mailing address
148 S Bloomingdale Rd Ste 107
Bloomingdale, IL 60108-1491
Phone (815) 341-7277
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 |
|---|---|---|---|
| 038.013919 | IL | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renata Mendez LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1912623976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 S BLOOMINGDALE RD STE 107",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081491",
"telephone_number": "815-341-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 S BLOOMINGDALE RD STE 107",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081491",
"telephone_number": "815-341-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "RENATA",
"middle_name": "MARIE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-12",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": "038.013919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.