Organization Active NPI

Sandez Family Chiropractic & Wellness Center, PLLC

  • Chiropractor
  • Cary, NC
National Provider Identifier
1669779203
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4076 Issued in NC
Legal business name
SANDEZ FAMILY CHIROPRACTIC & WELLNESS CENTER, PLLC
Practice address
1616 Evans Rd
Suite 150
Cary, NC 27513-9653
Phone
(919) 535-3091
Fax
(919) 535-3099
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Dr. Jose Luis Sandez, D.C.NPI 1124322664
Title
Chiropractor/Owner
Phone
(919) 535-3091

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 4076 NC Primary

Addresses

Primary practice location

1616 Evans Rd
Suite 150
Cary, NC 27513-9653

Mailing address

1616 Evans Road
Suite 150
Cary, NC 27513-9653
Phone (919) 535-3091

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110315000823 NC Part B Supplier - Clinic/Group Practice 2860674611 Receives reassigned benefits from 1 practitioner
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1669779203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 EVANS ROAD",
            "address_2": "SUITE 150",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275139653",
            "telephone_number": "919-535-3091",
            "fax_number": "919-535-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 EVANS RD",
            "address_2": "SUITE 150",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275139653",
            "telephone_number": "919-535-3091",
            "fax_number": "919-535-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDEZ FAMILY CHIROPRACTIC & WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "SANDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "919-535-3091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.