Individual provider Active NPI

Waldo Alberto Amadeo Sanchez

  • Chiropractor
  • Bonita Springs, FL
National Provider Identifier
1124530225
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12330 Issued in FL
Practice address
27499 Riverview Center Blvd Ste 242
Bonita Springs, FL 34134-4335
Phone
(239) 955-1355
NPI assigned
Oct 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12330 FL Primary

Addresses

Primary practice location

27499 Riverview Center Blvd Ste 242
Bonita Springs, FL 34134-4335

Mailing address

27499 Riverview Center Blvd Ste 242
Bonita Springs, FL 34134-4335
Phone (239) 955-1355

Other practice location 1

6214 Trail Blvd
Naples, FL 34108-2835
Phone (239) 955-1355

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
12330FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health by Design LLC Chiropractor PastSince Oct 31, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1124530225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27499 RIVERVIEW CENTER BLVD STE 242",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344335",
            "telephone_number": "239-955-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27499 RIVERVIEW CENTER BLVD STE 242",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344335",
            "telephone_number": "239-955-1355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6214 Trail Blvd",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341082835",
            "country_code": "US",
            "telephone_number": "239-955-1355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMADEO SANCHEZ",
        "first_name": "WALDO",
        "middle_name": "ALBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-30",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.