Active NPI
Jordan Sanders, D.C.
- Chiropractor
- Bettendorf, IA
National Provider Identifier
1669924080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 083519
- Practice address
- 3654 Utica Ridge Rd
Bettendorf, IA 52722-1648 - Phone
- (563) 499-0111
- NPI assigned
- Nov 2, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 083519 | IA | Primary |
Addresses
Primary practice location
3654 Utica Ridge Rd
Bettendorf, IA 52722-1648
Mailing address
3654 Utica Ridge Rd
Bettendorf, IA 52722-1648
Phone (563) 499-0111
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083519 | IA | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Family Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Davenport, IA
- NPI 1164966347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1669924080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3654 UTICA RIDGE RD",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221648",
"telephone_number": "563-499-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3654 UTICA RIDGE RD",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221648",
"telephone_number": "563-499-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JORDAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-02",
"last_updated": "2024-12-09",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "083519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.