Jeremy J Sanders, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010129 Issued in IL

Practice address

1525 Lexington Ave
Lawrenceville, IL 62439-2260

Phone

(618) 943-4949

Fax

(618) 943-5858

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanders Family Chiropractic LLCGroup PAC ID 5991780223, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sanders Family Chiropractic, LLC

  • Chiropractor
  • Lawrenceville, IL
  • NPI 1740394568

  IN

  Medicare reassignment Care Compare group NPD
• Vincennes Chiropractic, Inc PC

  • Chiropractor
  • Vincennes, IN
  • NPI 1376748996
  NPD

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1952340515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 LEXINGTON AVE",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392260",
            "telephone_number": "618-943-4949",
            "fax_number": "618-943-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LEXINGTON AVE",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392260",
            "telephone_number": "618-943-4949",
            "fax_number": "618-943-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JEREMY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003057A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PPO",
            "identifier": "660547",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PPO",
            "identifier": "05132005",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Roark
• Bonnie B Routh, LPCA
• Madelyn Marie Rusk
• S E Illinois Counseling CTRS Inc.
• Sanders Family Chiropractic, LLC
• Lisa Marie Sanders, DC
• Allyson Schauf, NP-C
• Adrienne Schuh, MS, OTR/L
• Danielle Scott
• Julie Lynn Scott, BS

• Chiropractor in Lawrenceville, IL
• Providers in Lawrenceville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.