Organization Active NPI

Sandberg Family Chiropractic PLLC

  • Chiropractor
  • Bath, MI
National Provider Identifier
1962783506
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009524 Issued in MI
Legal business name
SANDBERG FAMILY CHIROPRACTIC PLLC
Practice address
5815 Clark Rd
Suite a
Bath, MI 48808-8789
Phone
(517) 410-3832
NPI assigned
Sep 8, 2011
Last updated
Sep 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Dr. Thomas Michael Sandberg, D.C.
Title
C.E.O
Phone
(517) 410-3832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009524 MI Primary

Addresses

Primary practice location

5815 Clark Rd
Suite a
Bath, MI 48808-8789

Mailing address

5815 Clark Rd
Suite a
Bath, MI 48808-8789
Phone (517) 410-3832

National Provider Directory

National Provider Directory

Locations

5815 Clark Rd
Ste A
Bath, MI 48808
Phone (517) 410-3832

5015 S Pennsylvania Ave
Unit 2
Lansing, MI 48910
Phone (517) 512-2070

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1962783506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 CLARK RD",
            "address_2": "SUITE A",
            "city": "BATH",
            "state": "MI",
            "postal_code": "488088789",
            "telephone_number": "517-410-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 CLARK RD",
            "address_2": "SUITE A",
            "city": "BATH",
            "state": "MI",
            "postal_code": "488088789",
            "telephone_number": "517-410-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDBERG FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "SANDBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "517-410-3832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.