Active NPI
Herbert Lawrence Sanders, M.D.
- Specialist
- Lake Lure, NC
National Provider Identifier
1518227271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G29489
- Practice address
- 210 Wolf Creek Drive
Lake Lure, NC 28746 - Phone
- (340) 626-1045
- Fax
- (321) 256-5999
- NPI assigned
- May 29, 2012
- Last updated
- May 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G29489 | CA | Primary |
Addresses
Primary practice location
210 Wolf Creek Drive
Lake Lure, NC 28746
Mailing address
PO Box 639
Lake Lure, NC 28746-0639
Phone (340) 626-1045
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G29489 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338249600000",
"number": "1518227271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639",
"city": "LAKE LURE",
"state": "NC",
"postal_code": "287460639",
"telephone_number": "340-626-1045",
"fax_number": "321-256-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 WOLF CREEK DRIVE",
"city": "LAKE LURE",
"state": "NC",
"postal_code": "28746",
"telephone_number": "340-626-1045",
"fax_number": "321-256-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "HERBERT",
"middle_name": "LAWRENCE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-29",
"last_updated": "2012-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G29489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Lure, NC
- Isotope Behavioral Learning Centers, LLC
- Daniel Ross Lovette, PA
- Patricia McKenna
- Mallorie Stewart Newman, PA
- Mary Alison Reitano, MA, LPC, LMFT, NCC
- Doris Shay, M.AUD. CCC-SLP
- Corrie Elisabeth Sias, LCMHC
- Katherine A. Sloss, M.D.
- Jennifer Marie Kahealani Vanlandingham, LCSW, LCAS
- Rivers Woodward, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.