Active NPI
Alvin Benjamin Sanders, D.C.
- Chiropractor
- Mesa, AZ
National Provider Identifier
1144240300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5551
- Practice address
- 1140 S Country Club Dr
Suite 111-B
Mesa, AZ 85210-4649 - Phone
- (480) 834-1700
- Fax
- (480) 834-1200
- NPI assigned
- Jul 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5551 | AZ | Primary |
Addresses
Primary practice location
1140 S Country Club Dr
Suite 111-B
Mesa, AZ 85210-4649
Mailing address
1140 S Country Club Dr
Suite 111-B
Mesa, AZ 85210-4649
Phone (480) 834-1700
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 |
|---|---|---|---|
| 5551 | AZ | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D W Centers LLC | Chiropractor | Past | Accepting new patients |
| First Chiropractic Valencia LLC | Chiropractor | Past | Accepting new patients |
| First Chiropractic St. Mary's LLC | Chiropractor | Past | Accepting new patients |
| Ocotillo Chiropractic Center II PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 4
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.
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-
- Chiropractor
- Tucson, AZ
- NPI 1245266964
-
dba Ocotillo Chiropractic Center
- Chiropractor
- Chandler, AZ
- NPI 1972714368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144240300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 S COUNTRY CLUB DR",
"address_2": "SUITE 111-B",
"city": "MESA",
"state": "AZ",
"postal_code": "852104649",
"telephone_number": "480-834-1700",
"fax_number": "480-834-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 S COUNTRY CLUB DR",
"address_2": "SUITE 111-B",
"city": "MESA",
"state": "AZ",
"postal_code": "852104649",
"telephone_number": "480-834-1700",
"fax_number": "480-834-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "ALVIN",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.