Individual provider Active NPI

Sarah Jay Sammons, DC

  • Chiropractor
  • Watseka, IL
National Provider Identifier
1912647181
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013859 Issued in IL
Practice address
625 S 5TH St Ste a
Watseka, IL 60970-1836
Phone
(815) 515-0082
Fax
(815) 515-0094
NPI assigned
Mar 29, 2022
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013859 IL Primary

Addresses

Primary practice location

625 S 5TH St Ste a
Watseka, IL 60970-1836

Mailing address

625 S 5TH St Ste a
Watseka, IL 60970-1836
Phone (815) 515-0082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220414001092 IL Practitioner - Chiropractic 2264828466 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

625 S 5TH St
Suite a
Watseka, IL 60970-1836
Phone (815) 515-0082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013859ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Robinson Chiropractic of Watseka LLC Chiropractor CurrentSince Mar 25, 2022 Accepting new patients
Robinson Chiropractic, LTD. Chiropractor CurrentSince Mar 25, 2022 Accepting new patients
Robinson Chiropractic of Westville, LLC Chiropractor CurrentSince Mar 25, 2022 Accepting new patients
Robinson Chiropractic of Hoopeston, LLC Chiropractor CurrentSince Mar 25, 2022 Accepting new patients

Locations

3595 N Vermilion St
Danville, IL 61832
Phone (217) 442-2273

830 S Dixie Hwy
Hoopeston, IL 60942
Phone (217) 283-5638

625 S 5th St
Watseka, IL 60970
Phone (815) 432-2225

625 S 5th St
Ste A
Watseka, IL 60970
Phone (815) 432-3305

111 N State St
Westville, IL 61883
Phone (217) 267-2188

111 N State St
Ste C
Westville, IL 61883
Phone (217) 560-3110

Organizations & group practices 4

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1912647181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S 5TH ST STE A",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701836",
            "telephone_number": "815-515-0082",
            "fax_number": "815-515-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S 5TH ST STE A",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701836",
            "telephone_number": "815-515-0082",
            "fax_number": "815-515-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMONS",
        "first_name": "SARAH",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watseka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.