Active NPI
Albert Peter Sawaya, D.C.
- Sports Physician Chiropractor
- Gladwin, MI
National Provider Identifier
1821183740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 2301005236
- Practice address
- 120 Commerce CT
Gladwin, MI 48624-1220 - Phone
- (989) 426-6121
- Fax
- (989) 426-5466
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 2301005236 | MI | Primary |
Addresses
Primary practice location
120 Commerce CT
Gladwin, MI 48624-1220
Mailing address
120 Commerce CT
Gladwin, MI 48624-1220
Phone (989) 426-6121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1814784 | Medicaid | MI | |
| 950B610080 | Other | MI | BLUE CROSS BLUE SHIELD ID |
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 |
|---|---|---|---|
| 2301005236 | MI | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1821183740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 COMMERCE CT",
"city": "GLADWIN",
"state": "MI",
"postal_code": "486241220",
"telephone_number": "989-426-6121",
"fax_number": "989-426-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 COMMERCE CT",
"city": "GLADWIN",
"state": "MI",
"postal_code": "486241220",
"telephone_number": "989-426-6121",
"fax_number": "989-426-5466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAWAYA",
"first_name": "ALBERT",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MI",
"license": "2301005236",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1814784",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "950B610080",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gladwin, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.