Active NPI
Justin Ryan Sands, D.C.
- Chiropractor
- Polk City, IA
National Provider Identifier
1811225501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007262
- Practice address
- 407 W Bridge Rd
Ste 8
Polk City, IA 50226 - Phone
- (515) 984-6484
- Fax
- (515) 257-2740
- NPI assigned
- Nov 18, 2009
- 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 | 007262 | IA | Primary |
Addresses
Primary practice location
407 W Bridge Rd
Ste 8
Polk City, IA 50226
Mailing address
407 W Bridge Rd
Ste 8
Polk City, IA 50226
Phone (515) 984-6484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
407 W Bridge Rd
Suite 8
Polk City, IA 50226-2310
Phone (515) 984-6484
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Polk City, IA
- NPI 1477881167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1811225501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 W BRIDGE RD",
"address_2": "STE 8",
"city": "POLK CITY",
"state": "IA",
"postal_code": "50226",
"telephone_number": "515-984-6484",
"fax_number": "515-257-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 W BRIDGE RD",
"address_2": "STE 8",
"city": "POLK CITY",
"state": "IA",
"postal_code": "50226",
"telephone_number": "515-984-6484",
"fax_number": "515-257-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDS",
"first_name": "JUSTIN",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Polk City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.