Kenneth J Sable, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01765 Issued in MD

Practice address

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

Phone

(301) 645-5390

Fax

(301) 645-6215

NPI assigned

Nov 21, 2006

Last updated

Jun 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kenneth J Sable and Assoc Inc

  • Occupational Health Chiropractor
  • Waldorf, MD
  • NPI 1376754218
  Authorized official Same address or phone

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1427123801",
    "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": {
        "last_name": "SABLE",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DC",
            "identifier": "R7260001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD",
            "identifier": "M440",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmin Russell, LGPC
• Tyler William Ryan, PTA
• Alex Ryzhikov, MD
• S. W. Podiatry Group
• Ivan A Sabio, MD
• Safcom Home Care and Behavioral Health Services
• Safcon Home Care and Behavioral Health Services
• Safe Hands Home Healthcare, LLC.
• Safe Harbor Christian Counseling
• Safe Haven Assisted Living

• Chiropractor in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.