Individual provider Active NPI

Denver GKS Sasser, DC

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1730244781
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8257 Issued in AZ
Practice address
8655 E Via de Ventura Ste E160
Scottsdale, AZ 85258-3395
Phone
(480) 596-1686
NPI assigned
Dec 27, 2006
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002221A IN
Chiropractor 111N00000X 8257 AZ Primary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X 2192 AZ

Addresses

Primary practice location

8655 E Via de Ventura Ste E160
Scottsdale, AZ 85258-3395

Mailing address

1498 E Oak Rd
San Tan Valley, AZ 85140-3191
Phone (480) 341-7820

Other practice location 1

1498 E Oak Rd
San Tan Valley, AZ 85140-3191
Phone (480) 341-7820

Other identifiers 2

IdentifierTypeStateIssuer
000000386434OtherINBLUE CROSS BLUE SHIELD
200529270MedicaidIN

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

LicenseStateTypeSpecialty
08002221AINMDChiropractor
2192AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sensory Testing Systems, LLC Electroneurodiagnostic CurrentSince Sep 4, 2022 Accepting new patients
Brinson Family Chiropractic, Inc. Chiropractor Past Accepting new patients
Linton Chiropractic Clinic Chiropractor Past Accepting new patients

Locations

8655 E Via de Ventura
Ste E160
Scottsdale, AZ 85258
Phone (480) 247-3747

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1730244781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 E OAK RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851403191",
            "telephone_number": "480-341-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8655 E VIA DE VENTURA STE E160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583395",
            "telephone_number": "480-596-1686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1498 E Oak Rd",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851403191",
            "country_code": "US",
            "telephone_number": "480-341-7820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASSER",
        "first_name": "DENVER",
        "middle_name": "GKS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002221A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8257",
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "AZ",
            "license": "2192",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000386434",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200529270",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.