Individual provider Active NPI

Sadie Sanders, D.C.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1336466184
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2020029831 Issued in MO
Practice address
11628 Old Ballas Rd Ste 210
Saint Louis, MO 63141-7030
Phone
(314) 744-9398
NPI assigned
May 3, 2010
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 32132 CA
Chiropractor 111N00000X 2020029831 MO Primary

Addresses

Primary practice location

11628 Old Ballas Rd Ste 210
Saint Louis, MO 63141-7030

Mailing address

188 Skyline Dr
Columbia, IL 62236-2633
Phone (314) 744-9398

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260309000999 IL Practitioner - Chiropractic 5294906822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stratton Chiropractic and Family Health Center P.C.Group PAC ID 3870621220, 3 clinicians

Practice addresses (Care Compare)

824 N Market St
Waterloo, IL 62298-1050
Phone (618) 939-5585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 32132CAMDChiropractor
2020029831MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
3 Pillars Health, LLC Chiropractor Current Accepting new patients
Stratton Chiropractic and Family Health Center P.C. CurrentSince Feb 25, 2026 Accepting new patients

Locations

824 N Market St
Waterloo, IL 62298
Phone (618) 939-5585

11628 Old Ballas Rd
Saint Louis, MO 63141
Phone (314) 579-9664

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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1336466184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 SKYLINE DR",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362633",
            "telephone_number": "314-744-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11628 OLD BALLAS RD STE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417030",
            "telephone_number": "314-744-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SADIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 32132",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2020029831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.