Individual provider Active NPI

Mark Baker Sanders, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1326014515
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2383 Issued in TX
Practice address
609 Castle Ridge Rd
Suite 330
Austin, TX 78746-5147
Phone
(512) 347-8033
Fax
(512) 328-5114
NPI assigned
Feb 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2383 TX Primary

Addresses

Primary practice location

609 Castle Ridge Rd
Suite 330
Austin, TX 78746-5147

Mailing address

2402 Toro Canyon Rd
Austin, TX 78746-2419
Phone (512) 327-6420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080407000178 TX Practitioner - Chiropractic 8224111224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1975
Medicare assignment
May accept Medicare assignment
Group practices
Family Chiropractic Center, Inc.Group PAC ID 2062595051, 2 clinicians

Practice addresses (Care Compare)

4201 Bee Caves Rd
Suite C212
West Lake Hills, TX 78746-6458
Phone (512) 347-8033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2383TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Center, Inc. Chiropractor CurrentSince Sep 15, 2007 Accepting new patients
Optimal Health Center, LLC Chiropractor CurrentSince Jun 5, 2022 Accepting new patients

Locations

4201 Bee Caves Rd
Ste C212
West Lake Hills, TX 78746
Phone (512) 347-8033

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326014515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 TORO CANYON RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787462419",
            "telephone_number": "512-327-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 CASTLE RIDGE RD",
            "address_2": "SUITE 330",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465147",
            "telephone_number": "512-347-8033",
            "fax_number": "512-328-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MARK",
        "middle_name": "BAKER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.