DR. DANIEL MENDOZA (NPI# 1902883465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902883465 |
| Entity Type | Individual |
| Full Name | DR. DANIEL MENDOZA |
| Credential | DPM |
| Practice Address |
336 Sumner Hall Dr Gallatin TN 37066-3129 |
| Practice Telephone | 6154528899 |
| Practice Fax Number | 6154528919 |
| Mailing Telephone | 6154528899 |
| Mailing Fax Number | 6154528919 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2007-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | DPM0000000442 | TN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3352215 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686738 | Daniel Mendoza | Physical Therapist | 2519 S Lakeline Blvd Ste 100, Cedar Park, TX 78613-2964 | 2020-07-15 |
| 1285297564 | Daniel Robert Mendoza | Counselor | 3838 Nw 36th St, Oklahoma City, OK 73112-2970 | 2019-04-22 |
| 1699210997 | Daniel Mendoza | Behavioral Analyst | 4401 Crenshaw Blvd, Los Angeles, CA 90043-1227 | 2016-12-23 |
| 1235346859 | Daniel B Mendoza | Dentist | 133 Arch St, Suite 1, Redwood City, CA 94062-1379 | 2007-05-16 |
| 1558479782 | Daniel Mendoza | Pediatrics | 1701 W Superior St, Chicago, IL 60622-5646 | 2006-08-28 |
| Street Address |
336 SUMNER HALL DR |
| City | GALLATIN |
| State | TN |
| Zip Code | 37066-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790207496 | Reece Nathaniel Rickertsen | Podiatrist | 336 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2017-07-13 |
| 1164765798 | Elizabeth Bailey Wakefield | Podiatrist | 336 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2013-04-02 |
| 1053502252 | Mendoza Foot & Ankle Center PC | Podiatrist | 336 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2007-08-05 |
| 1558336339 | Mark Mendoza | Chiropractor | 336 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748235 | Results-ast Jv, LLC | Physical Therapist | 110 St. Blaise Road, Suite 101, Gallatin, TN 37066 | 2020-10-21 |
| 1306445531 | Results-ast Jv, LLC | Physical Therapist | 132 North Belvedere Dr, Gallatin, TN 37066 | 2020-10-19 |
| 1063065969 | Tennessee Dental Professionals PC | Dentist | 2069 Nashville Pike, Gallatin, TN 37066 | 2019-07-19 |
| 1912478108 | Jason Holland | Psychologist | 106 Public Sq Ste 105, Gallatin, TN 37066 | 2018-12-16 |
| 1619463148 | Perkins Greenlea LLC | Pharmacy | 879 Greenlea Blvd, Suite 101, Gallatin, TN 37066 | 2018-07-09 |
| 1316432792 | Ann Elizabeth Willert | Counselor | 322 Sumner Hall Drive, Gallatin, TN 37066 | 2018-06-27 |
| 1255852661 | Samantha Jo Kelly | Dentist | 1710 Nashville Pike # 102, Gallatin, TN 37066 | 2017-07-06 |
| 1265880470 | Mallory Jane Hackbarth | Dentist | 923 Nashville Pike A, Gallatin, TN 37066 | 2016-05-27 |
| 1124493697 | Jennifer Stroud | Counselor | 273 Big Station Camp Blvd, 30-206, Gallatin, TN 37066 | 2015-12-09 |
| 1982075651 | Lacefield Enterprises, Inc | Speech-Language Pathologist | 1010 Broughton Place, Gallatin, TN 37066 | 2015-10-07 |
| Find all providers in zip 37066 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790207496 | Reece Nathaniel Rickertsen | Podiatrist | 336 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2017-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686696 | Ankle and Foot Centers of Nashville, LLC | Podiatrist | 1909 Mallory Ln Ste 100, Franklin, TN 37067-8230 | 2020-07-16 |
| 1417571498 | Advanced Diagnostic Imaging, PC | Podiatrist | 353 New Shackle Island Rd Ste 120b, Hendersonville, TN 37075-2329 | 2020-06-04 |
| 1154836708 | Advanced Foot Care, LLP | Podiatrist | 705 Cook Dr Ste 200, Athens, TN 37303-3494 | 2017-12-05 |
| 1043725690 | Advanced Foot Care, LLP | Podiatrist | 689 Medical Park Drive, Ste. 102, Lenoir City, TN 37772-5797 | 2017-12-05 |
| 1265941447 | Mendoza Foot & Ankle Center PC | Podiatrist | 3443 Dickerson Pike Ste 500, Nashville, TN 37207-2599 | 2017-09-20 |
| 1174044010 | Kevin Timothy Haag | Podiatrist | 9325 Apison Pike Ste 137, College Dale, TN 37363-3805 | 2017-06-30 |
| 1639526577 | Jared Todd Gremillion | Podiatrist | 240 Medical Park Blvd Ste 1500, Bristol, TN 37620-7353 | 2016-05-20 |
| 1720473820 | James Barksdale | Podiatrist | 1605 S Locust Ave Ste 101, Lawrenceburg, TN 38464-4053 | 2015-04-06 |
| 1780072371 | Special Care Podiatry of Tennessee, LLC | Podiatrist | 6140 E Brainerd Rd, Chattanooga, TN 37421-3910 | 2015-01-05 |
| 1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
| Find all providers with the same taxonomy | ||||
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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.