Sandra E Andersson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC002670L Issued in PA

Practice address

658 Harleysville Pike
Suite 110
Harleysville, PA 19438-2886

Phone

(215) 256-8006

Fax

(215) 256-8111

NPI assigned

Dec 16, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Sandra E Levenson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1790761237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 HARLEYSVILLE PIKE",
            "address_2": "SUITE 110",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382886",
            "telephone_number": "215-256-8006",
            "fax_number": "215-256-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 HARLEYSVILLE PIKE",
            "address_2": "SUITE 110",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382886",
            "telephone_number": "215-256-8006",
            "fax_number": "215-256-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSSON",
        "first_name": "SANDRA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-002670L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002670L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5968301",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE/INDEPENDENCE BC",
            "identifier": "0048552000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "LEVENSON",
            "middle_name": "E",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Chiropractor in Harleysville, PA
• Providers in Harleysville, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.