Organization Active NPI

Sanders Chiropractic, Inc.

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1083912489
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8174 Issued in FL
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

Updated by the provider on Jan 6, 2012

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.