Active NPI
Kevin B Sanders, DC
- Chiropractor
- Lubbock, TX
National Provider Identifier
1043308802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC6764
- Practice address
- 5805 64TH St
Lubbock, TX 79424-2707 - Phone
- (806) 687-7417
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC6764 | TX | Primary |
Addresses
Primary practice location
5805 64TH St
Lubbock, TX 79424-2707
Mailing address
5805 64TH St
Lubbock, TX 79424-2707
Phone (806) 687-7417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC6764 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carey Chiropractic Center P.a. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Lubbock, TX
- NPI 1740391705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1043308802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5805 64TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794242707",
"telephone_number": "806-687-7417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5805 64TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794242707",
"telephone_number": "806-687-7417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "KEVIN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC6764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.