Individual provider Active NPI

Sandra J. Saville, D.C

  • Nutrition Chiropractor
  • Reno, NV
National Provider Identifier
1902883853
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
B-01428 Issued in NV
Practice address
305 W Moana LN
Suite B-3
Reno, NV 89509-4984
Phone
(775) 410-4969
NPI assigned
Dec 30, 2005
Last updated
Jan 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X WA00034546 WA
Chiropractor 111N00000X 3763 OR
Electroneurodiagnostic Specialist/Technologist 246ZE0600X
Nutrition Chiropractor 111NN1001X B-01428 NV Primary

Addresses

Primary practice location

305 W Moana LN
Suite B-3
Reno, NV 89509-4984

Mailing address

305 W Moana LN
Suite B-3
Reno, NV 89509-4984
Phone (775) 410-4969

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

State licenses

LicenseStateTypeSpecialty
3763ORMDChiropractor
WA00034546WAMDChiropractor
B-01428NVMDNutrition Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1902883853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W MOANA LN",
            "address_2": "SUITE B-3",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094984",
            "telephone_number": "775-410-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W MOANA LN",
            "address_2": "SUITE B-3",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094984",
            "telephone_number": "775-410-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVILLE",
        "first_name": "SANDRA",
        "middle_name": "J.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "WA00034546",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3763",
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NV",
            "license": "B-01428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.