Organization Active NPI

Sanchez Chiropractic Center, P.C.

  • Chiropractor
  • Iuka, MS
National Provider Identifier
1043443328
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1054 Issued in MS
Legal business name
SANCHEZ CHIROPRACTIC CENTER, P.C.
Practice address
2009 Constitution Dr
Iuka, MS 38852-8457
Phone
(662) 423-9315
Fax
(662) 423-9359
NPI assigned
Sep 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Dr. Kimberly N Sanchez, D.C.NPI 1033266770
Title
Dr.
Phone
(662) 423-9315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1054 MS Primary

Addresses

Primary practice location

2009 Constitution Dr
Iuka, MS 38852-8457

Mailing address

PO Box 366
2009 Constitution Drive
Iuka, MS 38852-0366
Phone (662) 423-9315

Other identifiers 3

IdentifierTypeStateIssuer
00116414MedicaidMS
03422363MedicaidMS
03105570MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110204000412 MS Part B Supplier - Clinic/Group Practice 8729268917 Receives reassigned benefits from 3 practitioners
Practice locations: Iuka, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1043443328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "address_2": "2009 CONSTITUTION DRIVE",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388520366",
            "telephone_number": "662-423-9315",
            "fax_number": "662-423-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 CONSTITUTION DR",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388528457",
            "telephone_number": "662-423-9315",
            "fax_number": "662-423-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCHEZ CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "662-423-9315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116414",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03422363",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03105570",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iuka, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.