Organization Active NPI

Gary L Sash DC

  • Chiropractor
  • Macomb, IL
National Provider Identifier
1669220398
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GARY L SASH DC
Practice address
117 E Carroll St
Macomb, IL 61455-2222
Phone
(309) 837-2567
NPI assigned
May 8, 2024
Last updated
May 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Gary Sash, DCNPI 1497829188
Title
Chiropractor/Owner
Phone
(309) 837-2567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

117 E Carroll St
Macomb, IL 61455-2222

Mailing address

117 E Carroll St
Macomb, IL 61455-2222
Phone (309) 837-2567

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240715002349 IL Part B Supplier - Clinic/Group Practice 1951846963 Receives reassigned benefits from 1 practitioner
Practice locations: Macomb, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0719114Gary L Sash DC117 E Carroll, Macomb, IL 61455Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

117 E Carroll St
Macomb, IL 61455
Phone (309) 837-2567

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1669220398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E CARROLL ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552222",
            "telephone_number": "309-837-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E CARROLL ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552222",
            "telephone_number": "309-837-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L SASH DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "SASH",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "309-837-2567",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.