Johnny J Sanders III, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4094 Issued in SC

Practice address

2427 Fish Hatchery Rd
West Columbia, SC 29172-2093

Phone

(803) 939-0785

NPI assigned

Jan 5, 2016

Sex

Male

Sole proprietor

No

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 SC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthsource of West Columbia

  • Chiropractor
  • West Columbia, SC
  • NPI 1134572258
  Medicare reassignment NPD
• Carew, L.L.C.

  • Chiropractor
  • Columbia, SC
  • NPI 1952495749
  NPD (past)

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1265898464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3709",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290634019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 FISH HATCHERY RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291722093",
            "telephone_number": "803-939-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JOHNNY",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terra Regina Samuels
• Duval Samwaru, DO
• Thomas Sanchez, MD
• Sanctuary Home Health Agency, LLC
• Crystal Krom Sanders, OTR/L
• Nicholas Sanders Jr.
• Connie Miller Sandifer, COTA/L, LMT
• Ravi Sanghani, MD
• Amit Kumar Sanghi, D.O.
• Alycia Gabrielle Sansbury

• Chiropractor in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.