Organization Active NPI

Sanders Podiatry LLC

  • Foot & Ankle Surgery Podiatrist
  • Baker City, OR
National Provider Identifier
1083239636
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SANDERS PODIATRY LLC
Practice address
2830 10TH St
Baker City, OR 97814-1404
Phone
(541) 524-0122
NPI assigned
Jun 10, 2020
Last updated
Jun 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Dr. Brian Sanders, DPMNPI 1649707308
Title
Doctor
Phone
(541) 524-0122

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
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

2830 10TH St
Baker City, OR 97814-1404

Mailing address

2830 10TH St
Baker City, OR 97814-1404
Phone (541) 524-0122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200714002918 OR Part B Supplier - Clinic/Group Practice 9638592231 Receives reassigned benefits from 1 practitioner
Practice locations: John Day, OR; Ontario, OR; La Grande, OR; Baker City, OR
O20201208001799 OR DME Supplier - Physician - Podiatry 9638592231 Practice locations: Baker City, OR

National Provider Directory

National Provider Directory

Locations

2830 10th St
Baker City, OR 97814
Phone (541) 524-0122

107 Island Ave
La Grande, OR 97850
Phone (541) 304-3205

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/sanderspodiatry

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1083239636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 10TH ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141404",
            "telephone_number": "541-524-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 10TH ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141404",
            "telephone_number": "541-524-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "541-524-0122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.