Individual provider Active NPI

Taylor Jonathon Sadowski, DC

  • Chiropractor
  • Wake Forest, NC
National Provider Identifier
1376391128
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5765 Issued in NC
Practice address
616 Dr Calvin Jones Hwy Ste 104
Wake Forest, NC 27587-3106
Phone
(919) 761-5158
Fax
(919) 435-1905
NPI assigned
May 7, 2024
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5765 NC Primary

Addresses

Primary practice location

616 Dr Calvin Jones Hwy Ste 104
Wake Forest, NC 27587-3106

Mailing address

508 Clifton Blue St
Wake Forest, NC 27587-6175
Phone (919) 414-5618

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912002886 NC Practitioner - Chiropractic 8820538168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
K and S Wellness LLCGroup PAC ID 3779729348, 5 clinicians

Practice addresses (Care Compare)

616 Doctor Calvin Jones Hwy
Suite 104
Wake Forest, NC 27587-3106
Phone (919) 761-5158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5765NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
K and S Wellness LLC Chiropractor CurrentSince Sep 11, 2024 Accepting new patients

Locations

616 Dr Calvin Jones Hwy
Ste 104
Wake Forest, NC 27587
Phone (919) 761-5158

Organizations & group practices 1

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": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1376391128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 CLIFTON BLUE ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876175",
            "telephone_number": "919-414-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 DR CALVIN JONES HWY STE 104",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873106",
            "telephone_number": "919-761-5158",
            "fax_number": "919-435-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADOWSKI",
        "first_name": "TAYLOR",
        "middle_name": "JONATHON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.