Sanders Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4758 Issued in TX

Legal business name

SANDERS CHIROPRACTIC

Practice address

4712 Boat Club Rd
Fort Worth, TX 76135-2002

Phone

(817) 237-2930

Fax

(817) 237-4143

NPI assigned

Nov 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Gary W Sanders, D.C.NPI 1770623449

Title

Doctor/Owner

Phone

(817) 237-2930

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gary W. Sanders Chiropractic Clinic P.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary W Sanders, D.C., F.A.S.A

  • Chiropractor
  • Fort Worth, TX
  • NPI 1770623449
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1336441625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 BOAT CLUB RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352002",
            "telephone_number": "817-237-2930",
            "fax_number": "817-237-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 BOAT CLUB RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352002",
            "telephone_number": "817-237-2930",
            "fax_number": "817-237-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "817-237-2930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB129427",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR SOLE PROPRIETOR",
            "identifier": "1770623449",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary W. Sanders Chiropractic Clinic P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mya Nicole Sanchez
• Rosa A Sanchez, RNFA
• Valeria Sanchez
• James Christopher Sander
• Martha Sanderford - Smith, RN
• Adriana Velazquez Sanders, LPC-S
• Brittany N. Sanders
• Casey Sanders, DC
• Chelsea Rene Sanders, MS, CCC-SLP
• Deborah Sanders, OTR

• Chiropractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.