Active NPI
Brandon Mendez, DDS
- Dentist
- Lincoln, NE
National Provider Identifier
1942619549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7528
- Practice address
- 4000 E Campus Loop
University of Nebraska Medical Center
Lincoln, NE 68583 - Phone
- (402) 427-1333
- NPI assigned
- Aug 7, 2014
- Last updated
- Jun 25, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60977 | KS | |
| Dentist | 122300000X | 7528 | NE | Primary |
Addresses
Primary practice location
4000 E Campus Loop
University of Nebraska Medical Center
Lincoln, NE 68583
Mailing address
600 Caisson Hill Rd
US Army Dental Activity
Fort Riley, KS 66442-7037
Phone (785) 239-7241
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60977 | KS | MD | Dentist |
| 7528 | NE | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1942619549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CAISSON HILL RD",
"address_2": "US ARMY DENTAL ACTIVITY",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664427037",
"telephone_number": "785-239-7241",
"fax_number": "785-240-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 E CAMPUS LOOP",
"address_2": "UNIVERSITY OF NEBRASKA MEDICAL CENTER",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68583",
"telephone_number": "402-427-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "BRANDON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-07",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "60977",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "7528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.