Organization Active NPI

Sauder Chiropractic, Inc.

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1205906609
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1199 Issued in OH
Legal business name
SAUDER CHIROPRACTIC, INC.
Practice address
5915 Karl Rd
Columbus, OH 43229-2664
Phone
(614) 848-4111
Fax
(614) 848-4439
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Dr. Stanley Edward Sauder, D.C.NPI 1760592646
Title
President
Phone
(614) 848-4111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1199 OH Primary

Addresses

Primary practice location

5915 Karl Rd
Columbus, OH 43229-2664

Mailing address

5915 Karl Rd
Columbus, OH 43229-2664
Phone (614) 848-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050915001171 OH Part B Supplier - Clinic/Group Practice 2264465681 Receives reassigned benefits from 1 practitioner
Practice locations: Dublin, OH

National Provider Directory

National Provider Directory

Locations

5915 Karl Rd
Columbus, OH 43229
Phone (614) 848-4111

7239 Sawmill Rd
Ste 110
Dublin, OH 43016
Phone (614) 457-7575

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1205906609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 KARL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292664",
            "telephone_number": "614-848-4111",
            "fax_number": "614-848-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 KARL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292664",
            "telephone_number": "614-848-4111",
            "fax_number": "614-848-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUDER CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SAUDER",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-848-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.