DR. WALTER ENRIQUE MENDOZA (NPI# 1780703538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780703538 |
| Entity Type | Individual |
| Full Name | DR. WALTER ENRIQUE MENDOZA |
| Credential | D.C. |
| Practice Address |
20817 Jamaica Ave Queens Village NY 11428-1546 |
| Mailing Address |
330 S Long Beach Ave Freeport NY 11520-4345 |
| Practice Telephone | 7184654500 |
| Practice Fax Number | 7184796754 |
| Mailing Telephone | 5164459343 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
010611 | NY | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669768297 | Walter Dequillo Mendoza | Internal Medicine | 4545 Post Oak Place Dr, Houston, TX 77027-3164 | 2011-06-22 |
| Street Address |
20817 JAMAICA AVE |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11428-1546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699753566 | Jeffrey Stewart Washburn | Chiropractor | 20817 Jamaica Ave, Queens Village, NY 11428-1546 | 2006-01-02 |
| 1982838637 | Rommel M Vesagas | Physical Therapist | 20817 Jamaica Ave, Queens Village, NY 11428-1546 | 2009-05-11 |
| 1487826004 | Diaspo Chiropractic & Physical Therapy, Pllc | Chiropractor | 20817 Jamaica Ave, Queens Village, NY 11428-1546 | 2008-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770117574 | Introgen, Inc. | Durable Medical Equipment & Medical Supplies | 212-27 Jamaica Ave, Queens Village, NY 11428 | 2020-03-02 |
| 1972084366 | State of New York Comptrollers Office | Clinic/Center | Fineson Ddsoo Clinic, 80-45 Winchester Blvd Bldg 80, Queens Village, NY 11428 | 2018-08-24 |
| 1083108674 | Patricia Ngozi Okoye-oyibo | Licensed Practical Nurse | Home Care At Its Best Inc., 221-21 Jamaica Ave, Queens Village, NY 11428 | 2018-06-18 |
| 1497278782 | Jea Early Intervention Services | Early Intervention Provider Agency | 93-46 215 Street, Queens Village, NY 11428 | 2017-07-19 |
| 1649790569 | Super Tech Wheelchair Service and Repair Inc | Durable Medical Equipment & Medical Supplies | 9420 210th Street, Queens Village, NY 11428 | 2017-06-21 |
| 1003368861 | Anr Homecare Services, LLC | Home Health | 217-02 Jamaica Avenue 2nd Fl, Queens Village, NY 11428 | 2016-10-27 |
| 1619426327 | Chinedu Ogueri | Licensed Practical Nurse | 9220 216 Th St, Queensvillage, NY 11428 | 2016-09-23 |
| 1083168520 | Mma Shukur | Registered Nurse | 9111 218th St, Queens Village, NY 11428 | 2016-08-13 |
| 1548631880 | Randall Ramnarain | Pharmacist | 102-05 Jamaica Ave, Richmond Hill, NY 11428 | 2015-10-13 |
| 1265809172 | Jackie R. Chessen Consulting | Early Intervention Provider Agency | 221-17 91 Road, Queens Village, NY 11428 | 2015-08-26 |
| Find all providers in zip 11428 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114191541 | Nguyen Chiropractic P.C. | Chiropractor | 21522 91st Ave, Queens Village, NY 11428-1217 | 2008-04-16 |
| 1417120296 | Bnn Chiropractic P.C. | Chiropractor | 21522 91st Ave, Queens Village, NY 11428-1217 | 2008-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043859150 | Brian Lotempio | Chiropractor | 435 5th Ave Fl 4, New York, NY 10016-2208 | 2020-01-06 |
| 1912462714 | Binghamton Chiropractic Pllc | Chiropractor | 95 Court St Ste G1, Binghamton, NY 13901-3312 | 2019-02-05 |
| 1912415845 | Tjb Chiropractic Pllc | Chiropractor | 10 Hanover Square, New York, NY 10005 | 2018-01-12 |
| 1093249799 | Natural Approach Chiropractic, PC | Chiropractor | 13618 39th Ave Ste 706, Flushing, NY 11354-5583 | 2017-04-19 |
| 1356688691 | Dr. Michael Fernandez Chiropractic, P.C. | Chiropractor | 2543 Route 44 55, Gardiner, NY 12525-5214 | 2013-01-07 |
| 1407105554 | Leigh Damkohler, Dc, PC | Chiropractor | 8 Bacon Pl, Yonkers, NY 10710-1204 | 2012-09-05 |
| 1477859775 | Brad Lacroix | Chiropractor | 287 Fall St, Seneca Falls, NY 13148-1516 | 2011-02-03 |
| 1376849604 | Robert James Bencivenga | Chiropractor | 27 Cedar Swamp Rd, Glen Cove, NY 11542-3728 | 2011-02-03 |
| 1952568792 | Mark A Capodanno | Chiropractor | 6 Wainer Ct, Centerport, NY 11721-1523 | 2008-05-20 |
| 1720275654 | Daniel C Minocchi | Chiropractor | 4545 Transit Rd Ste 640, Williamsville, NY 14221-6012 | 2007-09-25 |
| Find all providers with the same taxonomy | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11428 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.