Sage Chiropractic Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH006632 Issued in FL

Legal business name

SAGE CHIROPRACTIC WELLNESS CENTER LLC

Practice address

69 S Dixie Hwy
Suite C1
St Augustine, FL 32084-4186

Phone

(904) 829-3348

Fax

(904) 829-3348

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Janice Kala Sage, DCNPI 1861588600

Title

Owner

Phone

(904) 829-3348

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice K Sage, D.C.

  • Chiropractor
  • Saint Augustine, FL
  • NPI 1861588600
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1902265705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 S DIXIE HWY",
            "address_2": "SUITE C1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844186",
            "telephone_number": "904-829-3348",
            "fax_number": "904-829-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 S DIXIE HWY",
            "address_2": "SUITE C1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844186",
            "telephone_number": "904-829-3348",
            "fax_number": "904-829-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE CHIROPRACTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "SAGE",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "KALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-829-3348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH006632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Sachs
• Teresa J Sackmaster, PTA
• Elaine S Sadkowski, LCSW
• George Edward Sadowski, M.D.
• Safe Harbor Counseling, Inc
• Janice K Sage, D.C.
• Justin Sager, D.O.
• Bashar S Saikaly, MD
• Sami Kameel Saikaly, M.D.
• Tanya Siham Saikaly, DMD

• Chiropractor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.