Dr. Derik Sanders, D.C. LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10290 Issued in TX

Legal business name

DR. DERIK SANDERS, D.C. LLC

Practice address

300 Beardsley LN BLDG E
Suite 104
Austin, TX 78746-4954

Phone

(512) 494-1880

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Derik Paul Sanders, D.C.NPI 1437119187

Title

Owner

Phone

(512) 934-1002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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.

• Derik Paul Sanders, D.C.

  • Chiropractor
  • Marble Falls, TX
  • NPI 1437119187
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1932640653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 KEEPSAKE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787456369",
            "telephone_number": "512-494-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BEARDSLEY LN BLDG E",
            "address_2": "SUITE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464954",
            "telephone_number": "512-494-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DERIK SANDERS, D.C. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "DERIK",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-934-1002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.