Active NPI
William Samuel Saunders, DC
- Chiropractor
- Minot, ND
National Provider Identifier
1407919616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 382
- Practice address
- 1015 South Broadway
Suite 16
Minot, ND 58701 - Phone
- (701) 838-2752
- Fax
- (701) 838-2128
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 382 | ND | Primary |
Addresses
Primary practice location
1015 South Broadway
Suite 16
Minot, ND 58701
Mailing address
1015 South Broadway
Suite 16
Minot, ND 58701
Phone (701) 838-2752
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4339 | Other | ND | BCBS |
| 15504 | Medicaid | ND | |
| T66813 | Other | ND | WSI |
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": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407919616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 SOUTH BROADWAY",
"address_2": "SUITE 16",
"city": "MINOT",
"state": "ND",
"postal_code": "58701",
"telephone_number": "701-838-2752",
"fax_number": "701-838-2128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 SOUTH BROADWAY",
"address_2": "SUITE 16",
"city": "MINOT",
"state": "ND",
"postal_code": "58701",
"telephone_number": "701-838-2752",
"fax_number": "701-838-2128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUNDERS",
"first_name": "WILLIAM",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "382",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4339",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15504",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WSI",
"identifier": "T66813",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.