Active NPI
Andrew Clark Sanders, D.C.
- Chiropractor
- Indianapolis, IN
National Provider Identifier
1396175402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08003349A
- Practice address
- 971 N Delaware St
Indianapolis, IN 46202-3377 - Phone
- (317) 648-5631
- Fax
- (317) 743-1394
- NPI assigned
- Nov 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08003349A | IN | Primary |
Addresses
Primary practice location
971 N Delaware St
Indianapolis, IN 46202-3377
Mailing address
4234 Centennial CT
Carmel, IN 46033-2433
Phone (314) 623-8430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672617600000",
"number": "1396175402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4234 CENTENNIAL CT",
"city": "CARMEL",
"state": "IN",
"postal_code": "460332433",
"telephone_number": "314-623-8430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "971 N DELAWARE ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023377",
"telephone_number": "317-648-5631",
"fax_number": "317-743-1394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "ANDREW",
"middle_name": "CLARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-26",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IN",
"license": "08003349A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.