Individual provider Active NPI

Sandra Lisa Doman, DC

  • Chiropractor
  • Miami, FL
National Provider Identifier
1326376849
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9848 Issued in FL
Practice address
20754 W Dixie Hwy
Miami, FL 33180-1146
Phone
(305) 935-9599
NPI assigned
Nov 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9848 FL Primary

Addresses

Primary practice location

20754 W Dixie Hwy
Miami, FL 33180-1146

Mailing address

20754 W Dixie Hwy
Miami, FL 33180-1146
Phone (305) 935-9599

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111111000224 FL Practitioner - Chiropractic 4486827045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9848FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1326376849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20754 W DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801146",
            "telephone_number": "305-935-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20754 W DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801146",
            "telephone_number": "305-935-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMAN",
        "first_name": "SANDRA",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.