Active NPI
Sanders Family Chiropractic, LLC
- Chiropractor
- Lawrenceville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3516-2449
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lisa Marie Sanders, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05132005 | Other | IL | BC/BS |
Other names 2
- Sanders Family Chiropractic
- Sanders Family Chiropractic - Vincennes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.