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
- Last updated
- Jul 21, 2022
- 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, 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": "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.