Sanders Chiropractic and Fitness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4554 Issued in OH

Legal business name

SANDERS CHIROPRACTIC AND FITNESS, LLC

Practice address

7209 Chagrin Rd Ste a
Chagrin Falls, OH 44023-1129

Phone

(440) 600-7407

Fax

(440) 600-7417

NPI assigned

Oct 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Grant David Sanders, DC, PHD, CSCSNPI 1225363039

Title

Practice Owner

Phone

(440) 600-7407

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Grant David Sanders, DC, PHD, CSCS

  • Chiropractor
  • Chagrin Falls, OH
  • NPI 1225363039
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1518434752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 CHAGRIN RD STE A",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440231129",
            "telephone_number": "440-600-7407",
            "fax_number": "440-600-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 CHAGRIN RD STE A",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440231129",
            "telephone_number": "440-600-7407",
            "fax_number": "440-600-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS CHIROPRACTIC AND FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "440-600-7407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, PHD, CSCS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1225363039",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.