Sandifer Chiropractic Clinic, Inc. P.S.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00000764 Issued in WA

Legal business name

SANDIFER CHIROPRACTIC CLINIC, INC. P.S.

Practice address

704 Lilly Rd SE
Olympia, WA 98501-2115

Phone

(360) 491-6310

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Leamon C Sandifer, DCNPI 1447376173

Title

Dr of Chiropractic

Phone

(360) 491-6310

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leamon C. Sandifer, DC

  • Neurology Chiropractor
  • Olympia, WA
  • NPI 1447376173
  NPD (past) Authorized official

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1457549867",
    "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": {
        "organization_name": "SANDIFER CHIROPRACTIC CLINIC, INC. P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "SANDIFER",
        "authorized_official_first_name": "LEAMON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "360-491-6310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00000764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CH0000764",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laquanda P Sanders, LPN
• Lori D Sanders
• Katherine Bernice Sanderson, LM
• Peter J Sanderson, LMFT, MHP, CMHS
• Jagjit Singh Sandhu
• Grace Sandifer, LMT
• Leamon C. Sandifer, DC
• Tina Lynne Sandoval, BCBA
• Gary R Sandwick, MA
• Guntas Kaur Sangha, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.