Sander Chiropractic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A05143 Issued in IA

Legal business name

SANDER CHIROPRACTIC

Practice address

15 S 9TH St
Estherville, IA 51334-2220

Phone

(712) 362-4139

NPI assigned

Dec 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gregory A Sander, D.C.NPI 1629127048

Title

Owner

Phone

(712) 362-4139

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Gregory Alan Sander, D.C.

  • Chiropractor
  • Estherville, IA
  • NPI 1629127048
  NPD (past) Authorized official

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1639448756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S 9TH ST",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513342220",
            "telephone_number": "712-362-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S 9TH ST",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513342220",
            "telephone_number": "712-362-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "SANDER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-362-4139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "A05143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0243089",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "24308",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madhan Prabhakaran, MD
• Keith L. Probst, M.D.
• Tricia Rembold
• James J Roberts, OD
• Charles Alan Robinson
• Gregory Alan Sander, D.C.
• Cathi Rae Scharnberg, ARNP
• Kelsey Shatto, PT, DPT
• Signature Properties of Estherville, LLC (Rosewood Manor)
• Denver Jocylen Splinter, CNP

• Clinic/Center in Estherville, IA
• Providers in Estherville, IA by specialty
• Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.