Individual provider Active NPI

Carrie Theresa Sands, D.C.

  • Chiropractor
  • Kalamazoo, MI
National Provider Identifier
1295747301
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CS008469 Issued in MI
Practice address
635 N 9TH St
Suite a
Kalamazoo, MI 49009-5896
Phone
(269) 372-2900
Fax
(269) 372-0900
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CS008469 MI Primary

Addresses

Primary practice location

635 N 9TH St
Suite a
Kalamazoo, MI 49009-5896

Mailing address

635 N 9TH St
Suite a
Kalamazoo, MI 49009-5896
Phone (269) 372-2900

Other identifiers 6

IdentifierTypeStateIssuer
11287788OtherCAQH
4430181OtherMIOTHER
1295747301OtherMINPI (TYPE 1)
1770534976OtherMIGROUP NPI
950C912820OtherMIOTHER
N43520003OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CS008469MIMDChiropractor
5273COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prater Chiropractic Wellness Center Inc Chiropractor PastSince Jun 1, 2001 Accepting new patients
Ksiazek Medical Services P.C. Past Accepting new patients
Milwood Spine Center LLC Chiropractor Past Accepting new patients
Keuhn Chiropractic Clinic PC Chiropractor PastSince Jul 20, 2010 Accepting new patients
Susan N Blaskay DC PC Chiropractor PastSince May 27, 2015 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1295747301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N 9TH ST",
            "address_2": "SUITE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095896",
            "telephone_number": "269-372-2900",
            "fax_number": "269-372-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N 9TH ST",
            "address_2": "SUITE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095896",
            "telephone_number": "269-372-2900",
            "fax_number": "269-372-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDS",
        "first_name": "CARRIE",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "CS008469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11287788",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "4430181",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (TYPE 1)",
            "identifier": "1295747301",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1770534976",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "950C912820",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "N43520003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.