Jorge Ivan Sanchez, CHIROPRACTOR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60995032 Issued in WA

Practice address

2627 Capital Mall Dr SW # B3A
Olympia, WA 98502-8696

Phone

(360) 786-6322

Fax

(360) 786-5677

NPI assigned

Oct 16, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eastlake Chiropractic Center P S

  • Sports Physician Chiropractor
  • Seattle, WA
  • NPI 1457489833
  Medicare reassignment NPD

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1912549403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 CAPITAL MALL DR SW # B3A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028696",
            "telephone_number": "360-786-6322",
            "fax_number": "360-786-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 CAPITAL MALL DR SW # B3A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028696",
            "telephone_number": "360-786-6322",
            "fax_number": "360-786-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JORGE",
        "middle_name": "IVAN",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60995032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald John San Nicolas, PHD, MSW, MHP,
• Miranda Setahrae Sanayei
• Brittany Sanchez-Reed
• Astrid Sanchez
• Elisia Sanchez
• Mayra Alejandra Sanchez, MA, LMFT
• Russell Sanchez
• Sierra Rose Sanchez, LPN
• Charmaine Yevette Sanders, RPH
• Haley Sanders, LMP

• Chiropractor in Olympia, WA
• Providers in Olympia, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.