Organization Active NPI

Sanders Family Chiropractic, LLC

  • Chiropractor
  • Lawrenceville, IL
National Provider Identifier
1740394568
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3516-2449 Issued in IL
Legal business name
SANDERS FAMILY CHIROPRACTIC, LLC
Doing business as
Sanders Family Chiropractic
Sanders Family Chiropractic - Vincennes
Practice address
1525 Lexington Ave
Lawrenceville, IL 62439-2260
Phone
(618) 943-4949
Fax
(618) 943-5858
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Dr. Lisa Marie Sanders, DCNPI 1235196734
Title
Owner/Operator
Phone
(618) 943-4949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3516-2449 IL Primary

Addresses

Primary practice location

1525 Lexington Ave
Lawrenceville, IL 62439-2260

Mailing address

1525 Lexington Ave
Lawrenceville, IL 62439-2260
Phone (618) 943-4949

Other practice location 1

707 Busseron St Ste C
Vincennes, IN 47591-2938
Phone (812) 886-4427

Other identifiers 1

IdentifierTypeStateIssuer
05132005OtherILBC/BS

Other names 2

  • Sanders Family Chiropractic Doing business as
  • Sanders Family Chiropractic - Vincennes Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040622000097 IL Part B Supplier - Clinic/Group Practice 5991780223 Receives reassigned benefits from 2 practitioners
Practice locations: Lawrenceville, IL
O20181227001750 IN Part B Supplier - Clinic/Group Practice 5991780223 Receives reassigned benefits from 2 practitioners
Practice locations: Vincennes, IN

National Provider Directory

National Provider Directory

Locations

1525 Lexington Ave
Lawrenceville, IL 62439
Phone (618) 943-4949

707 Busseron St
Ste C
Vincennes, IN 47591
Phone (812) 886-4427

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1740394568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 LEXINGTON AVE",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392260",
            "telephone_number": "618-943-4949",
            "fax_number": "618-943-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LEXINGTON AVE",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392260",
            "telephone_number": "618-943-4949",
            "fax_number": "618-943-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Busseron St Ste C",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475912938",
            "country_code": "US",
            "telephone_number": "812-886-4427",
            "fax_number": "812-886-4427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANDERS FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "618-943-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "3516-2449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "05132005",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanders Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanders Family Chiropractic - Vincennes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.