Individual provider Active NPI

David Ross Sanders, DC, DACNB

  • Neurology Chiropractor
  • Indian Harbour Beach, FL
National Provider Identifier
1538349972
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH7177 Issued in FL
Practice address
2194 Highway A1A
Suite 308
Indian Harbour Beach, FL 32937-4930
Phone
(321) 777-1420
Fax
(321) 777-9032
NPI assigned
Nov 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X CH7177 FL Primary

Addresses

Primary practice location

2194 Highway A1A
Suite 308
Indian Harbour Beach, FL 32937-4930

Mailing address

2194 Highway A1A
Suite 308
Indian Harbour Beach, FL 32937-4930
Phone (321) 777-1420

Other identifiers 1

IdentifierTypeStateIssuer
55574OtherFLBCBS

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

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1538349972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 HIGHWAY A1A",
            "address_2": "SUITE 308",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374930",
            "telephone_number": "321-777-1420",
            "fax_number": "321-777-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2194 HIGHWAY A1A",
            "address_2": "SUITE 308",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374930",
            "telephone_number": "321-777-1420",
            "fax_number": "321-777-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "DAVID",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "DC, DACNB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH7177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55574",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.