Individual provider Active NPI

Tiffany Sarmiento, D.C.

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1487023743
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12891 Issued in TX
Practice address
3526 S Broadway Ave
Tyler, TX 75701-8707
Phone
(903) 617-6110
Fax
(903) 617-6108
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12891 TX Primary

Addresses

Primary practice location

3526 S Broadway Ave
Tyler, TX 75701-8707

Mailing address

3526 S Broadway Ave
Tyler, TX 75701-8707
Phone (903) 617-6110

Other practice location 1

5403 Andover Dr
Tyler, TX 75707-6112
Phone (903) 245-6947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12891TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sams Clinic LLC Chiropractor PastSince Dec 10, 2023 Accepting new patients
Give Back Health & Wellness Chiropractor PastSince Dec 10, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1487023743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018707",
            "telephone_number": "903-617-6110",
            "fax_number": "903-617-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018707",
            "telephone_number": "903-617-6110",
            "fax_number": "903-617-6108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5403 Andover Dr",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757076112",
            "country_code": "US",
            "telephone_number": "903-245-6947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARMIENTO",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.