Active NPI
Sase Chyk Enterprises, LLC
- Prosthetics Case Management
- Fayetteville, NC
National Provider Identifier
1821565821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | Primary | ||
| Massage Therapist | 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 DirectoryLocations
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.