Sanders Podiatry PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

208 Issued in SD

Legal business name

SANDERS PODIATRY PLLC

Practice address

909 13TH Ave NW
Watertown, SD 57201-1069

Phone

(605) 880-5874

Fax

(605) 753-1099

NPI assigned

Jul 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Stacey Sanders, DPM

Title

Owner/ Member

Phone

(605) 880-5874

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1417211772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 13TH AVE NW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011069",
            "telephone_number": "605-880-5874",
            "fax_number": "605-753-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 13TH AVE NW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011069",
            "telephone_number": "605-880-5874",
            "fax_number": "605-753-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-01",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER/ MEMBER",
        "authorized_official_telephone_number": "605-880-5874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "SD",
            "license": "208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Layne Rowland, DPT
• Regan Rozell, PT
• Jennifer Rudebusch
• Joy C Sabinash-Miller, DC
• Jolyn Sackmann, DNP, CNP, FNP-BC
• Bonny Lou Sandvik, LPN
• Sanford Clinic
• Sanford Clinic
• Sanford Clinic
• Sanford Clinic

• Podiatrist in Watertown, SD
• Providers in Watertown, SD by specialty
• Podiatrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.