Individual provider Active NPI

Thomas M Sandberg, DC

  • Behavior Technician
  • Austin, TX
National Provider Identifier
1437208774
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
5815 W William Cannon Dr Ste 101
Austin, TX 78749-1966
Phone
(512) 301-5996
Fax
(512) 301-5692
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 64846 TX
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

5815 W William Cannon Dr Ste 101
Austin, TX 78749-1966

Mailing address

5815 W William Cannon Dr Ste 101
Austin, TX 78749-1966
Phone (512) 301-5996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925003640 AZ Practitioner - Chiropractic 9931144938 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9530TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Barnett Family Chiropractic, PLLC Chiropractor Past Accepting new patients
Peak Performance Physical Therapy, PLC PastSince Jun 1, 2011 Accepting new patients
Healthfirst Chiropractic PC Chiropractor Past Accepting new patients
RDK Wohlfert PLLC Chiropractor Past Accepting new patients
Ryan and Monica Wohlfert, PC Chiropractor PastSince Nov 30, 2006 Accepting new patients
Dahl Chiropractic Clinics Chiropractor Past Accepting new patients
Westphalia Chiropractic PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1437208774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 W WILLIAM CANNON DR STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491966",
            "telephone_number": "512-301-5996",
            "fax_number": "512-301-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 W WILLIAM CANNON DR STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491966",
            "telephone_number": "512-301-5996",
            "fax_number": "512-301-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "64846",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.