Individual provider Active NPI

Kimberly Joanna Sachs, D.C.

  • Chiropractor
  • Belleville, IL
National Provider Identifier
1831228303
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010905 Issued in IL
Practice address
3030 Frank Scott Pkwy W Ste 1
Belleville, IL 62223-5014
Phone
(618) 236-3600
Fax
(618) 233-6100
NPI assigned
Mar 2, 2007
Last updated
Mar 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010905 IL Primary

Addresses

Primary practice location

3030 Frank Scott Pkwy W Ste 1
Belleville, IL 62223-5014

Mailing address

3030 Frank Scott Pkwy W Ste 1
Belleville, IL 62223-5014
Phone (618) 236-3600

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherILBLUE CROSS BLUE SHIELD

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

Practice roles

OrganizationSpecialtyStatusNew patients
A & M Chiropractic, LLC Chiropractor Past Accepting new patients
Walton CS XII PC Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1831228303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 FRANK SCOTT PKWY W STE 1",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235014",
            "telephone_number": "618-236-3600",
            "fax_number": "618-233-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 FRANK SCOTT PKWY W STE 1",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235014",
            "telephone_number": "618-236-3600",
            "fax_number": "618-233-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHS",
        "first_name": "KIMBERLY",
        "middle_name": "JOANNA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "PENDING",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.