Organization Active NPI

John E. Sandoz DC PA

  • Chiropractor
  • Mount Laurel, NJ
National Provider Identifier
1821211384
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00198700 Issued in NJ
Legal business name
JOHN E. SANDOZ DC PA
Practice address
2057 Briggs Rd
Suite 204
Mount Laurel, NJ 08054-4639
Phone
(856) 206-9560
Fax
(856) 206-9701
NPI assigned
Apr 11, 2007
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Dr. John E Sandoz, D.C.NPI 1659496834
Title
President
Phone
(856) 206-9560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00198700 NJ Primary

Addresses

Primary practice location

2057 Briggs Rd
Suite 204
Mount Laurel, NJ 08054-4639

Mailing address

2057 Briggs Rd
Suite 204
Mount Laurel, NJ 08054-4639
Phone (856) 206-9560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040924000100 NJ Part B Supplier - Clinic/Group Practice 9335117563 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Laurel, NJ

National Provider Directory

National Provider Directory

Locations

2057 Briggs Rd
Ste 204
Mount Laurel, NJ 08054
Phone (856) 206-9560

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1821211384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 BRIGGS RD",
            "address_2": "SUITE 204",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544639",
            "telephone_number": "856-206-9560",
            "fax_number": "856-206-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 BRIGGS RD",
            "address_2": "SUITE 204",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544639",
            "telephone_number": "856-206-9560",
            "fax_number": "856-206-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. SANDOZ DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "SANDOZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-206-9560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00198700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.