Individual provider Active NPI

Danielle Lea Sazama, D.C

  • Chiropractor
  • Baxter, MN
National Provider Identifier
1962700948
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5503 Issued in MN
Practice address
5638 Rush Lake CT
Baxter, MN 56425-8716
Phone
(308) 390-5594
NPI assigned
Mar 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5503 MN Primary

Addresses

Primary practice location

5638 Rush Lake CT
Baxter, MN 56425-8716

Mailing address

5638 Rush Lake CT
Baxter, MN 56425-8716
Phone (308) 390-5594

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110620000406 MN Practitioner - Chiropractic 8325226426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sazama Family Chiropractic and Wellness PAGroup PAC ID 2062690167, 2 clinicians

Practice addresses (Care Compare)

7073 Forthun Rd
Baxter, MN 56425-8700
Phone (218) 454-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5503MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lelwica Chiropractic Chiropractor PastSince Apr 4, 2009 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1962700948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5638 RUSH LAKE CT",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258716",
            "telephone_number": "308-390-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5638 RUSH LAKE CT",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258716",
            "telephone_number": "308-390-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAZAMA",
        "first_name": "DANIELLE",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.