Stacie L Sando, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009159 Issued in PA

Practice address

1749 E Broad St
Degenhart Chiropractic
Hazleton, PA 18201-5650

Phone

(570) 454-2474

Fax

(570) 454-0097

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sando'S Whole Life Center for Health LLCGroup PAC ID 4183031701, 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 and National Provider Directory roles.

• Sando'S Whole Life Center for Health LLC

  • Chiropractor
  • Drums, PA
  • NPI 1639769136
  Medicare reassignment Care Compare group NPD Authorized official
• John P Degenhart, DC

  • Chiropractor
  • Hazleton, PA
  • NPI 1356352652
  Medicare reassignment

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1205937638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 EAST BROAD ST",
            "address_2": "DEGENHART CHIROPRACTIC",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "18201",
            "telephone_number": "570-454-2474",
            "fax_number": "570-454-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 E BROAD ST",
            "address_2": "DEGENHART CHIROPRACTIC",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015650",
            "telephone_number": "570-454-2474",
            "fax_number": "570-454-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDO",
        "first_name": "STACIE",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011929270001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S4K Hazleton, LLC
• Sacco Chiropractic PC
• Scott Anthony Sacco, D.C.
• Zohra Gulnar Salahuddin, MD
• Melinda Sando, ATC
• Frank M. Scatton, OD
• Suzanne Marie Schaeffer, LPC, MC, NCC, CCMHC
• Kristie Scheib, LPC
• Robert Eugene Seaman, D.M.D.
• Frank Seratch III, MPT

• Chiropractor in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.