Individual provider Active NPI

Kenneth Ira Sanders, D.C., Q.M.E.

  • Chiropractor
  • Rancho Cucamonga, CA
National Provider Identifier
1972614550
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24977 Issued in CA
Practice address
7365 Carnelian St Ste 134
Rancho Cucamonga, CA 91730-1100
Phone
(909) 484-3807
Fax
(909) 481-9708
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24977 CA Primary

Addresses

Primary practice location

7365 Carnelian St Ste 134
Rancho Cucamonga, CA 91730-1100

Mailing address

7365 Carnelian St Ste 134
Rancho Cucamonga, CA 91730-1100
Phone (909) 484-3807

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

LicenseStateTypeSpecialty
24977CAMDClinical Psychologist
DC24977CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sanders Chiropractic Inc Chiropractor CurrentSince Aug 10, 2025 Accepting new patients

Locations

7365 Carnelian St
Ste 134
Rancho Cucamonga, CA 91730
Phone (909) 481-5292

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972614550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN ST STE 134",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301100",
            "telephone_number": "909-484-3807",
            "fax_number": "909-481-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN ST STE 134",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301100",
            "telephone_number": "909-484-3807",
            "fax_number": "909-481-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KENNETH",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "D.C., Q.M.E.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.