Individual provider Active NPI

Maxmillian Jude Sauer, DC

  • Chiropractor
  • Belleville, IL
National Provider Identifier
1730846288
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013805 Issued in IL
Practice address
201 S Illinois St
Belleville, IL 62220-2131
Phone
(262) 909-4220
NPI assigned
Nov 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013805 IL Primary

Addresses

Primary practice location

201 S Illinois St
Belleville, IL 62220-2131

Mailing address

13322 Hiddendale LN # 19
Ballwin, MO 63021-5846

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL max.sauer@aironechiropractic

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN, KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220127000253 IL Practitioner - Chiropractic 3971995853
I20240506001959 TN Practitioner - Chiropractic 3971995853 Reassigns benefits to 1 organization
I20240606004000 KY Practitioner - Chiropractic 3971995853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

352 Old Gallatin Rd
Scottsville, KY 42164-8666
Phone (270) 237-3304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
038013805ILMDChiropractor
3829TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reed Schulze Chiropractic LLC Chiropractor CurrentSince May 26, 2024 Accepting new patients
Spine Stop, PLLC Chiropractor CurrentSince May 20, 2024 Accepting new patients
Spine Stop Lafayette, PLLC Chiropractor CurrentSince Apr 19, 2024 Accepting new patients

Locations

201 S Illinois St
Belleville, IL 62220
Phone (262) 909-4220

352 Old Gallatin Rd
Scottsville, KY 42164
Phone (270) 239-2225

501 Highway 52 Byp W
Lafayette, TN 37083
Phone (615) 622-7942

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1730846288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13322 HIDDENDALE LN # 19",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ILLINOIS ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202131",
            "telephone_number": "262-909-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUER",
        "first_name": "MAXMILLIAN",
        "middle_name": "JUDE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "max.sauer@aironechiropractic",
            "affiliation": "N",
            "endpointDescription": "Encrypted secure email",
            "address_1": "201 S Illinois St",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622202131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.