Individual provider Active NPI

Sandi Doe, D.C.

  • Chiropractor
  • Blackwood, NJ
National Provider Identifier
1740213388
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00586300 Issued in NJ
Practice address
55 E Church St
Blackwood, NJ 08012-3902
Phone
(856) 227-5422
Fax
(856) 227-2952
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00586300 NJ Primary

Addresses

Primary practice location

55 E Church St
Blackwood, NJ 08012-3902

Mailing address

55 E Church St
Blackwood, NJ 08012-3902
Phone (856) 227-5422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000091 NJ Practitioner - Chiropractic 5496913451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Mike's Chiropractic LLCGroup PAC ID 3971754789, 2 clinicians

Practice addresses (Care Compare)

69 S Black Horse Pike
Blackwood, NJ 08012-2952
Phone (856) 401-0102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00586300NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mike's Chiropractic LLC Chiropractor CurrentSince Sep 21, 2015 Accepting new patients
Sandi Doe DC LLC Chiropractor PastSince Sep 21, 2015 Accepting new patients

Locations

69 S Black Horse Pike
Blackwood, NJ 08012
Phone (856) 401-0102

Organizations & group practices 2

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740213388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E CHURCH ST",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080123902",
            "telephone_number": "856-227-5422",
            "fax_number": "856-227-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E CHURCH ST",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080123902",
            "telephone_number": "856-227-5422",
            "fax_number": "856-227-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOE",
        "first_name": "SANDI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00586300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.