Sanford Lyle Geisser, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0000001381 Issued in TN

Practice address

650 S. Mount Juliet Rd, Suite 105
Mount Juliet, TN 37122

Phone

(615) 288-4823

Fax

(615) 288-4921

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bradshaw Chiropractic PLLC

  • Chiropractor
  • Old Hickory, TN
  • NPI 1740864727
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1699748665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S. MOUNT JULIET RD, SUITE 105",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "615-288-4823",
            "fax_number": "615-288-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S. MOUNT JULIET RD, SUITE 105",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "615-288-4823",
            "fax_number": "615-288-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISSER",
        "first_name": "SANFORD",
        "middle_name": "LYLE",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "4025433",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.