Organization Active NPI

Sase Chyk Enterprises, LLC

  • Prosthetics Case Management
  • Fayetteville, NC
National Provider Identifier
1821565821
Registry record updated Oct 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
SASE CHYK ENTERPRISES, LLC
Practice address
1111 Ireland Dr Ste 103
Fayetteville, NC 28304-3329
Phone
(910) 261-2634
NPI assigned
Oct 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2018

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

Authorized official

Name
Deneka Javona McMillan
Title
President
Phone
(910) 261-2634

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193200000X MULTI-SPECIALTY GROUP 1744P3200X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

1111 Ireland Dr Ste 103
Fayetteville, NC 28304-3329

Mailing address

1111 Ireland Dr Ste 103
Fayetteville, NC 28304-3329
Phone (910) 261-2634

National Provider Directory

National Provider Directory

Locations

1111 Ireland Dr
Ste 103
Fayetteville, NC 28304
Phone (910) 261-2634

NPI Registry JSON

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

{
    "created_epoch": "1540684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540684800000",
    "number": "1821565821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 IRELAND DR STE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043329",
            "telephone_number": "910-261-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 IRELAND DR STE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043329",
            "telephone_number": "910-261-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASE CHYK ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-28",
        "last_updated": "2018-10-28",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "DENEKA",
        "authorized_official_middle_name": "JAVONA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-261-2634"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2018; 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.