Wem Diagnostic Chiropractic Services PC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

010611 Issued in NY

Legal business name

WEM DIAGNOSTIC CHIROPRACTIC SERVICES PC

Practice address

31 Guy Lombardo Ave Ste 2
Freeport, NY 11520-3632

Phone

(516) 213-4610

Fax

(516) 213-4819

NPI assigned

Mar 30, 2012

Last updated

Mar 30, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Walter Enrique Mendoza, DCNPI 1780703538

Title

Chiropractor

Phone

(516) 213-4610

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter Enrique Mendoza, D.C.

  • Sports Physician Chiropractor
  • Freeport, NY
  • NPI 1780703538
  Authorized official Same address or phone

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1942576210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 GUY LOMBARDO AVE STE 2",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203632",
            "telephone_number": "516-213-4610",
            "fax_number": "516-213-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 GUY LOMBARDO AVE STE 2",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203632",
            "telephone_number": "516-213-4610",
            "fax_number": "516-213-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEM DIAGNOSTIC CHIROPRACTIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "516-213-4610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "010611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter E. Mendoza Chiropractor, P.C
• Regine Walton, L.P.N.
• Miriam Warren, RN
• Tatiana Webb, RN
• Mindy F Wellen, R.N.
• Pauli C Wertheim, BS IN OT
• Western Nassau Diagnostic Imaging Services P.C.
• Wheels to Wellness
• Joan Emelia White, RN
• Shirley White, MSW

• Rehabilitation Chiropractor in Freeport, NY
• Providers in Freeport, NY by specialty
• Rehabilitation Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.