Individual provider Active NPI

Dawn Denise Sandberg, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1760519300
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30220 Issued in CA
Practice address
7540 Metropolitan Dr Ste 109
San Diego, CA 92108-4416
Phone
(619) 294-9342
Fax
(619) 294-9365
NPI assigned
Feb 28, 2007
Last updated
Feb 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30220 CA Primary

Addresses

Primary practice location

7540 Metropolitan Dr Ste 109
San Diego, CA 92108-4416

Mailing address

4849 Williamsburg LN Unit 245
La Mesa, CA 91941-4612
Phone (619) 261-7415

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
30220CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
L. Ferguson Chiropractic Inc. Chiropractor Past Accepting new patients
Morrison Von Buelow Chiropractic Inc. Chiropractor Past Accepting new patients

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, 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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1760519300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 WILLIAMSBURG LN UNIT 245",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919414612",
            "telephone_number": "619-261-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 METROPOLITAN DR STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084416",
            "telephone_number": "619-294-9342",
            "fax_number": "619-294-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "DAWN",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.