Sarah Luann Dodge, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

60307609 Issued in WA

Practice address

31722 W. Eugene St Suite 6
Carnation, WA 98014-0203

Phone

(425) 333-4040

NPI assigned

Oct 12, 2012

Last updated

Dec 18, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Life in Balance Family Chiropractic, PLLCGroup PAC ID 7517103062, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Life in Balance Family Chiropractic, PLLC

  dba Life in Balance Family Chiropractic

  • Chiropractor
  • Carnation, WA
  • NPI 1568703668
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1154673242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "CARNATION",
            "state": "WA",
            "postal_code": "980140203",
            "telephone_number": "425-333-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31722 W. EUGENE ST SUITE 6",
            "city": "CARNATION",
            "state": "WA",
            "postal_code": "980140203",
            "telephone_number": "425-333-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "SARAH",
        "middle_name": "LUANN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60307609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie Conquest, MA., LMHC., CCH
• Carlos Cruz, COTA
• Donald Joseph David, LPN
• Edmund Joseph Decato, PA-SA
• Ginette Marie Didomenico, ARNP
• Andrea Beatrice Eaton-Lupas, PHD
• Aidan Armstrong Fisk, DPT
• Siri Gillespie, MSW, MED, PHD
• Richard Allen Green, RPT
• Robin Anne Halloran, RN

• Chiropractor in Carnation, WA
• Providers in Carnation, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.

Verify at the official NPI Registry.