Individual provider Active NPI

Joshua John Sandoz, D.C.

  • Chiropractor
  • Mount Laurel, NJ
National Provider Identifier
1528299815
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00676600 Issued in NJ
Practice address
2057 Briggs Rd
Suite 204
Mount Laurel, NJ 08054-4639
Phone
(856) 206-9560
Fax
(856) 206-9701
NPI assigned
Aug 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00676600 NJ Primary

Addresses

Primary practice location

2057 Briggs Rd
Suite 204
Mount Laurel, NJ 08054-4639

Mailing address

2057 Briggs Rd
Suite 204
Mount Laurel, NJ 08054-4639
Phone (856) 206-9560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316000123 NJ Practitioner - Chiropractic 1658553441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John E. Sandoz DC PAGroup PAC ID 9335117563, 2 clinicians

Practice addresses (Care Compare)

2057 Briggs Rd
Suite 204
Mount Laurel, NJ 08054-4639
Phone (856) 829-8194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00676600NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
John E. Sandoz, D.C. P.a. PastSince Mar 30, 2019 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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1528299815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 BRIGGS RD",
            "address_2": "SUITE 204",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544639",
            "telephone_number": "856-206-9560",
            "fax_number": "856-206-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 BRIGGS RD",
            "address_2": "SUITE 204",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544639",
            "telephone_number": "856-206-9560",
            "fax_number": "856-206-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOZ",
        "first_name": "JOSHUA",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-04",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00676600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.