Cresent Mendez Jr.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

4500 S Lancaster Rd
Dallas, TX 75216-7167

Phone

(214) 857-1748

Fax

(214) 857-1719

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Cresent Mendez Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Veterans Administration

  • VA Clinic/Center
  • Dallas, TX
  • NPI 1619989936
  NPD (past) Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992889778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 BUTTERFLY LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750412195",
            "telephone_number": "469-231-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-857-1748",
            "fax_number": "214-857-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "CRESENT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRESENT",
            "last_name": "MENDEZ",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "PA-C, MPAS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Samuel Reid Mendenhall
• Ana Griselda Mendez, PT, DPT
• Ana Maria Mendez, M.D.
• Antonio Richard Mendez, MD
• Benjamin Mendez, M.D.
• Cynthia Mendez
• Jennifer Mendez
• Lissete Mendez
• Lorena Mendez, M.S. CCC-SLP
• Marcela Denisse Mendez, MD

• Medical Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.