NPIMap

Organization Active NPI

Kenneth J Sable and Assoc Inc

  • Occupational Health Chiropractor
  • Waldorf, MD
National Provider Identifier
1376754218
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
S01765 Issued in MD
Legal business name
KENNETH J SABLE AND ASSOC INC
Practice address
3261 Old Washington Rd
Suite 2010
Waldorf, MD 20602-3223
Phone
(301) 645-5390
Fax
(301) 645-6215
NPI assigned
May 24, 2007
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Kenneth J Sable, D.CNPI 1427123801
Title
Owner' Doctor
Phone
(301) 645-5390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X S01765 MD Primary

Addresses

Primary practice location

3261 Old Washington Rd
Suite 2010
Waldorf, MD 20602-3223

Mailing address

3261 Old Washington Rd
Suite 2010
Waldorf, MD 20602-3223
Phone (301) 645-5390

Other identifiers 2

IdentifierTypeStateIssuer
M440OtherMDBCBS MD'NAT#
R726OtherMDBCBS DC'FED

National Provider Directory

National Provider Directory

Locations

3261 Old Washington Rd
Ste 2010
Waldorf, MD 20602
Phone (301) 645-5390

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1376754218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 OLD WASHINGTON RD",
            "address_2": "SUITE 2010",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023223",
            "telephone_number": "301-645-5390",
            "fax_number": "301-645-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 OLD WASHINGTON RD",
            "address_2": "SUITE 2010",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023223",
            "telephone_number": "301-645-5390",
            "fax_number": "301-645-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J SABLE AND ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "SABLE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER' DOCTOR",
        "authorized_official_telephone_number": "301-645-5390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "MD",
            "license": "S01765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD'NAT#",
            "identifier": "M440",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DC'FED",
            "identifier": "R726",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.