Active NPI
Scott Sarama Sardonicus, DC
- Chiropractor
- Dover, NH
National Provider Identifier
1710919576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 160-1193R
- Practice address
- 126 Mast Rd
Dover, NH 03820-4427 - Phone
- (603) 842-4769
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 160-1193R | NH | Primary |
Addresses
Primary practice location
126 Mast Rd
Dover, NH 03820-4427
Mailing address
126 Mast Rd
Dover, NH 03820-4427
Phone (603) 842-4769
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0097712 | Other | NH | CIGNA |
| 0503117Y0NH01 | Other | NH | ANTHEM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160-1193R | NH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439078400000",
"number": "1710919576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 MAST RD",
"city": "DOVER",
"state": "NH",
"postal_code": "038204427",
"telephone_number": "603-842-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 MAST RD",
"city": "DOVER",
"state": "NH",
"postal_code": "038204427",
"telephone_number": "603-842-4769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARDONICUS",
"first_name": "SCOTT",
"middle_name": "SARAMA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2015-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NH",
"license": "160-1193R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0097712",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0503117Y0NH01",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.