Organization Active NPI

Robert Sanders DC PLLC

  • Chiropractor
  • Boise, ID
National Provider Identifier
1336786268
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROBERT SANDERS DC PLLC
Practice address
910 W Main St Ste 244
Boise, ID 83702-5732
Phone
(208) 598-5067
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Dr. Robert Sanders, DC
Title
Owner
Phone
(208) 598-5067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

910 W Main St Ste 244
Boise, ID 83702-5732

Mailing address

910 W Main St Ste 244
Boise, ID 83702-5732
Phone (208) 598-5067

Other names 1

  • Dr. Rob Sanders Chiropractic Physician Doing business as

National Provider Directory

National Provider Directory

Locations

910 W Main St
Ste 244
Boise, ID 83702
Phone (208) 598-5067

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1336786268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W MAIN ST STE 244",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025732",
            "telephone_number": "208-598-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W MAIN ST STE 244",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025732",
            "telephone_number": "208-598-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT SANDERS DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-598-5067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Rob Sanders Chiropractic Physician",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.