Active NPI
Mendyk Chiropractic, Inc
- Chiropractor
- Perris, CA
National Provider Identifier
1972622280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC18538
- Legal business name
- MENDYK CHIROPRACTIC, INC
- Practice address
- 1688 N Perris Blvd Ste G2
Perris, CA 92571-4744 - Phone
- (951) 943-1722
- Fax
- (951) 943-3133
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Damaris Mendyk
- Title
- Office Manager
- Phone
- (951) 697-1246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC18538 | CA | Primary |
Addresses
Primary practice location
1688 N Perris Blvd Ste G2
Perris, CA 92571-4744
Mailing address
1688 N Perris Blvd Ste G2
Perris, CA 92571-4744
Phone (951) 943-1722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
126 Avocado Ave
Ste 203
Perris, CA 92571
Phone (951) 894-1646
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Moreno Valley, CA
- NPI 1720135122
-
- Chiropractor
- Perris, CA
- NPI 1750315677
-
- Chiropractor
- Perris, CA
- NPI 1457145443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972622280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1688 N PERRIS BLVD STE G2",
"city": "PERRIS",
"state": "CA",
"postal_code": "925714744",
"telephone_number": "951-943-1722",
"fax_number": "951-943-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1688 N PERRIS BLVD STE G2",
"city": "PERRIS",
"state": "CA",
"postal_code": "925714744",
"telephone_number": "951-943-1722",
"fax_number": "951-943-3133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENDYK CHIROPRACTIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MENDYK",
"authorized_official_first_name": "DAMARIS",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "951-697-1246",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC18538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.