Regina Renee Sanders, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5397 Issued in NC

Practice address

201 McCullough Dr Ste 350
Charlotte, NC 28262-1368

Phone

(704) 817-8185

NPI assigned

Jun 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1003547548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SPRING VISTA CT",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296443418",
            "telephone_number": "864-378-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MCCULLOUGH DR STE 350",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621368",
            "telephone_number": "704-817-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "REGINA",
        "middle_name": "RENEE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4683",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Unsure",
            "affiliation": "Y",
            "affiliationName": "Nova Chiropractic LLC",
            "address_1": "201 McCullough Dr Ste 350",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282621368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaelah Sanders
• Mary Beth Sanders
• Natalie R Sanders, OD
• Neoughta Sanders
• Quanolia Eureka Sanders
• Shanna Sanders
• Sheila Lynn Sanders, M.S. CCC-SLP
• Tawana Denise Sanders, LCSW
• Tiffany Santrina Sanders, LCSW
• Trumaine Roderick Sanders, LCAS-A

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.