Active NPI
Chris B Sandberg, MD
- Family Medicine Physician
- St Joseph, MO
National Provider Identifier
1639147408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35550
- Practice address
- 1515 St Joseph Ave
St Joseph, MO 64505-2631 - Phone
- (816) 233-3338
- Fax
- (816) 233-4777
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35550 | MO | Primary |
Addresses
Primary practice location
1515 St Joseph Ave
St Joseph, MO 64505-2631
Mailing address
1515 Saint Joseph Ave
Saint Joseph, MO 64505-2631
Phone (816) 233-3338
Other practice location 1
313 S US Highway 169
Gower, MO 64454
Phone (816) 424-6427
Other practice location 2
707 Victory Ln
Cainsville, MO 64632
Phone (660) 893-5750
Other practice location 3
1303 State St
Mound City, MO 64470
Phone (660) 442-5464
Other practice location 4
101 Cross St
Hamilton, MO 64644
Phone (816) 583-2151
Other practice location 5
109 N Main St
Braymer, MO 64624
Phone (660) 645-2218
Other practice location 6
503 S 6th St
Saint Joseph, MO 64501
Phone (816) 233-8536
Other practice location 7
2303 Village Dr
Saint Joseph, MO 64506
Phone (816) 232-6818
Other practice location 8
803 W US Highway 71
Savannah, MO 64485
Phone (816) 324-3121
Other practice location 9
305 Rhode Island St
King City, MO 64463
Phone (660) 535-4347
Other practice location 10
5001 Lake Ave
Saint Joseph, MO 64504
Phone (816) 238-7788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202117610 | Medicaid | MO |
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1639147408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 SAINT JOSEPH AVE",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645052631",
"telephone_number": "816-233-3338",
"fax_number": "816-233-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 ST JOSEPH AVE",
"city": "ST JOSEPH",
"state": "MO",
"postal_code": "645052631",
"telephone_number": "816-233-3338",
"fax_number": "816-233-4777"
}
],
"practiceLocations": [
{
"address_1": "313 S US Highway 169",
"address_purpose": "LOCATION",
"city": "Gower",
"state": "MO",
"postal_code": "64454",
"country_code": "US",
"telephone_number": "816-424-6427",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "707 Victory Ln",
"address_purpose": "LOCATION",
"city": "Cainsville",
"state": "MO",
"postal_code": "64632",
"country_code": "US",
"telephone_number": "660-893-5750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1303 State St",
"address_purpose": "LOCATION",
"city": "Mound City",
"state": "MO",
"postal_code": "64470",
"country_code": "US",
"telephone_number": "660-442-5464",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Cross St",
"address_purpose": "LOCATION",
"city": "Hamilton",
"state": "MO",
"postal_code": "64644",
"country_code": "US",
"telephone_number": "816-583-2151",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 N Main St",
"address_purpose": "LOCATION",
"city": "Braymer",
"state": "MO",
"postal_code": "64624",
"country_code": "US",
"telephone_number": "660-645-2218",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "503 S 6th St",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "64501",
"country_code": "US",
"telephone_number": "816-233-8536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2303 Village Dr",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "64506",
"country_code": "US",
"telephone_number": "816-232-6818",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "803 W US Highway 71",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "MO",
"postal_code": "64485",
"country_code": "US",
"telephone_number": "816-324-3121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "305 Rhode Island St",
"address_purpose": "LOCATION",
"city": "King City",
"state": "MO",
"postal_code": "64463",
"country_code": "US",
"telephone_number": "660-535-4347",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5001 Lake Ave",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "64504",
"country_code": "US",
"telephone_number": "816-238-7788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDBERG",
"first_name": "CHRIS",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2023-03-07",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "35550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202117610",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.