Active NPI
John Lloyd Sandifer Jr., D.C.
- Chiropractor
- Batesville, MS
National Provider Identifier
1154435337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0901
- Practice address
- 155 Hwy 6 W
Batesville, MS 38606-2508 - Phone
- (662) 563-1102
- Fax
- (662) 563-1178
- NPI assigned
- Aug 18, 2006
- 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 | 0901 | MS | Primary |
Addresses
Primary practice location
155 Hwy 6 W
Batesville, MS 38606-2508
Mailing address
PO Box 754
Batesville, MS 38606-0754
Phone (662) 563-1102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115597 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110106000402 | MS | Practitioner - Chiropractic | 9931398930 | Practice locations: Batesville, MS |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
155 Hwy 6 W
Batesville, MS 38606-2508
Phone (662) 563-1102
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0901 | MS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1154435337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 754",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386060754",
"telephone_number": "662-563-1102",
"fax_number": "662-563-1178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 HWY 6 W",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386062508",
"telephone_number": "662-563-1102",
"fax_number": "662-563-1178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDIFER",
"first_name": "JOHN",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "0901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00115597",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Batesville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.