Active NPI
John Bryan Sappington, DC
- Chiropractor
- Red Oak, TX
National Provider Identifier
1780896852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8861
- Practice address
- 106 Sierra Grande
Suite 100
Red Oak, TX 75154-2445 - Phone
- (972) 617-5600
- Fax
- (972) 617-5485
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8861 | TX | Primary |
Addresses
Primary practice location
106 Sierra Grande
Suite 100
Red Oak, TX 75154-2445
Mailing address
PO Box 2722
106 Sierra Grande Suite 100
Red Oak, TX 75154-2445
Phone (972) 617-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608289 | Other | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8861 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780896852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2722",
"address_2": "106 SIERRA GRANDE SUITE 100",
"city": "RED OAK",
"state": "TX",
"postal_code": "751542445",
"telephone_number": "972-617-5600",
"fax_number": "972-617-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 SIERRA GRANDE",
"address_2": "SUITE 100",
"city": "RED OAK",
"state": "TX",
"postal_code": "751542445",
"telephone_number": "972-617-5600",
"fax_number": "972-617-5485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAPPINGTON",
"first_name": "JOHN",
"middle_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "608289",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Red Oak, TX
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.