Active NPI
Deborah Mayhew Sanderson, D.C.
- Chiropractor
- Charlottesville, VA
National Provider Identifier
1104834480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556193
- Practice address
- 1550 Insurance LN
Charlottesville, VA 22911-7229 - Phone
- (434) 296-8100
- Fax
- (434) 975-1023
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556193 | VA | Primary |
| Chiropractor | 111N00000X | CH7477 | FL |
Addresses
Primary practice location
1550 Insurance LN
Charlottesville, VA 22911-7229
Mailing address
1550 Insurance LN
Charlottesville, VA 22911-7229
Phone (434) 296-8100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242876 | Other | VA | SOUTHER HEALTH PIN NUMBER |
| 71965538 | Other | VA | AETNA PIN NUMBER |
| 103382 | Other | VA | BC/BS PIN NUMBER |
| 2219233 | Other | VA | CIGNA'S PIN NUMBER |
Other names 1
- Dr. Deborah Lou Mayhew
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 |
|---|---|---|---|
| CH7477 | FL | MD | Chiropractor |
| 0104556193 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hedrick Chiropractic & Acupuncture LLC | Chiropractor | Past | Accepting new patients |
| Blue Ridge Chiropractic and Massage Therapy Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Charlottesville, VA
- NPI 1205061751
-
dba Blue Ridge Chiropractic
- Chiropractor
- Charlottesville, VA
- NPI 1306143557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104834480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 INSURANCE LN",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229117229",
"telephone_number": "434-296-8100",
"fax_number": "434-975-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 INSURANCE LN",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229117229",
"telephone_number": "434-296-8100",
"fax_number": "434-975-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERSON",
"first_name": "DEBORAH",
"middle_name": "MAYHEW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556193",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7477",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHER HEALTH PIN NUMBER",
"identifier": "242876",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN NUMBER",
"identifier": "71965538",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PIN NUMBER",
"identifier": "103382",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA'S PIN NUMBER",
"identifier": "2219233",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "MAYHEW",
"middle_name": "LOU",
"prefix": "DR.",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.