Individual provider Active NPI

Derik Paul Sanders, D.C.

  • Chiropractor
  • Marble Falls, TX
National Provider Identifier
1437119187
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10290 Issued in TX
Practice address
604 Main St
Marble Falls, TX 78654-5144
Phone
(830) 333-9877
Fax
(303) 339-8778
NPI assigned
Mar 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10290 TX Primary

Addresses

Primary practice location

604 Main St
Marble Falls, TX 78654-5144

Mailing address

604 Main St
Marble Falls, TX 78654-5144
Phone (830) 333-9877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080214000201 TX Practitioner - Chiropractic 7214010214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

604 Main St
Marble Falls, TX 78654-5144
Phone (512) 934-1002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10290TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health Center, LLC Chiropractor CurrentSince Jun 5, 2022 Accepting new patients
Dr. Derik Sanders, D.C. LLC Chiropractor CurrentSince Mar 24, 2017 Accepting new patients

Locations

604 Main St
Marble Falls, TX 78654
Phone (512) 934-1002

4201 Bee Caves Rd
Ste C212
West Lake Hills, TX 78746
Phone (512) 347-8033

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1437119187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MAIN ST",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545144",
            "telephone_number": "830-333-9877",
            "fax_number": "830-333-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MAIN ST",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545144",
            "telephone_number": "830-333-9877",
            "fax_number": "303-339-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "DERIK",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-26",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marble Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.