Active NPI
Jacinda J Sanders, D.C.
- Chiropractor
- East Moline, IL
National Provider Identifier
1932213519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-009639
- Practice address
- 609 15TH Ave
East Moline, IL 61244-1323 - Phone
- (309) 755-8220
- Fax
- (309) 755-8221
- NPI assigned
- Aug 19, 2006
- Last updated
- May 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-009639 | IL | Primary |
Addresses
Primary practice location
609 15TH Ave
East Moline, IL 61244-1323
Mailing address
609 15TH Ave
East Moline, IL 61244-1323
Phone (309) 755-8220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8132017 | Other | IL | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009639 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1932213519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 15TH AVE",
"city": "EAST MOLINE",
"state": "IL",
"postal_code": "612441323",
"telephone_number": "309-755-8220",
"fax_number": "309-755-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 15TH AVE",
"city": "EAST MOLINE",
"state": "IL",
"postal_code": "612441323",
"telephone_number": "309-755-8220",
"fax_number": "309-755-8221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JACINDA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-009639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8132017",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.