Douglas C Sacksteder, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

865 Issued in OH

Practice address

3817 Wilmington Pike
Kettering, OH 45429-5043

Phone

(937) 298-5987

Fax

(937) 298-9039

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kettering Chiropractic Center Inc

  • Chiropractor
  • Kettering, OH
  • NPI 1265568760
  NPD (past) Authorized official
• Knoderer Chiropractic Center LLC

  • Chiropractor
  • Kettering, OH
  • NPI 1265014294
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1871694422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 WILMINGTON PIKE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295043",
            "telephone_number": "937-298-5987",
            "fax_number": "937-298-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 WILMINGTON PIKE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295043",
            "telephone_number": "937-298-5987",
            "fax_number": "937-298-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKSTEDER",
        "first_name": "DOUGLAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0452666",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Ruth
• Jenna Rose Rutkowski
• Ryan Hinman MD LLC
• Carol Gaut Ryan, MD
• Tarek M Sabagh, MD
• Malek Mohamad Safa, M.D.
• Luis R Saldana-Gautier, M.D.
• Isidora Saldana
• Madelyn Sallot
• Barbara E Sammons, R.N.

• Chiropractor in Kettering, OH
• Providers in Kettering, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.