Individual provider Active NPI

Deborah Mayhew Sanderson, D.C.

  • Chiropractor
  • Charlottesville, VA
National Provider Identifier
1104834480
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556193 Issued in VA
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
242876OtherVASOUTHER HEALTH PIN NUMBER
71965538OtherVAAETNA PIN NUMBER
103382OtherVABC/BS PIN NUMBER
2219233OtherVACIGNA'S PIN NUMBER

Other names 1

  • Dr. Deborah Lou Mayhew Former name

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

LicenseStateTypeSpecialty
CH7477FLMDChiropractor
0104556193VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.