Active NPI
Sanders Chiropractic, Inc.
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1083912489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8174
- Legal business name
- SANDERS CHIROPRACTIC, INC.
- Practice address
- 7545 Centurion Pkwy
Suite 205
Jacksonville, FL 32256-0579 - Phone
- (904) 744-4100
- Fax
- (904) 744-4210
- NPI assigned
- Mar 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kim M Sanders Jr., D.C
- Title
- Owner/Chiropractic Physician
- Phone
- (904) 744-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8174 | FL | Primary |
Addresses
Primary practice location
7545 Centurion Pkwy
Suite 205
Jacksonville, FL 32256-0579
Mailing address
7545 Centurion Pkwy
Suite 205
Jacksonville, FL 32256-0579
Phone (904) 744-4100
National Provider Directory
National Provider DirectoryLocations
7545 Centurion Pkwy
Ste 205
Jacksonville, FL 32256
Phone (904) 744-4100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325808000000",
"number": "1083912489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7545 CENTURION PKWY",
"address_2": "SUITE 205",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560579",
"telephone_number": "904-744-4100",
"fax_number": "904-744-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7545 CENTURION PKWY",
"address_2": "SUITE 205",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560579",
"telephone_number": "904-744-4100",
"fax_number": "904-744-4210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDERS CHIROPRACTIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-09",
"last_updated": "2012-01-06",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/CHIROPRACTIC PHYSICIAN",
"authorized_official_telephone_number": "904-744-4100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.