Individual provider Active NPI

Sanio Dizdarevic, DC

  • Chiropractor
  • Plano, TX
National Provider Identifier
1134785306
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14088 Issued in TX
Practice address
8105 Rasor Blvd Ste 105
Plano, TX 75024-0334
Phone
(469) 771-1141
Fax
(469) 373-3121
NPI assigned
May 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14088 TX Primary

Addresses

Primary practice location

8105 Rasor Blvd Ste 105
Plano, TX 75024-0334

Mailing address

8105 Rasor Blvd Ste 105
Plano, TX 75024-0334
Phone (469) 771-1141

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
14088TXMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1134785306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 RASOR BLVD STE 105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240334",
            "telephone_number": "469-771-1141",
            "fax_number": "469-373-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 RASOR BLVD STE 105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240334",
            "telephone_number": "469-771-1141",
            "fax_number": "469-373-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZDAREVIC",
        "first_name": "SANIO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.