Leamon C. Sandifer, DC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

CH00000764 Issued in WA

Practice address

704 Lilly Rd SE
Olympia, WA 98501-2115

Phone

(360) 491-6310

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sandifer Chiropractic Clinic, Inc. P.S.

  • Chiropractor
  • Olympia, WA
  • NPI 1457549867
  NPD (past) Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447376173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5310",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985095310",
            "telephone_number": "360-491-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 LILLY RD SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012115",
            "telephone_number": "360-491-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDIFER",
        "first_name": "LEAMON",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "WA",
            "license": "CH00000764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WA",
            "identifier": "CH00000764",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Bernice Sanderson, LM
• Peter J Sanderson, LMFT, MHP, CMHS
• Jagjit Singh Sandhu
• Sandifer Chiropractic Clinic, Inc. P.S.
• Grace Sandifer, LMT
• Tina Lynne Sandoval, BCBA
• Gary R Sandwick, MA
• Guntas Kaur Sangha, MD
• Luis F Santamarina, M.D.
• Bernadine Santi, RPH

• Neurology Chiropractor in Olympia, WA
• Providers in Olympia, WA by specialty
• Neurology Chiropractor in Washington

• 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.

Verify at the official NPI Registry.