DR. JAKE W SANFORD DC
NPI 1184125288
Chiropractor in Burley, ID

Q: What is Jake Sanford's NPI number?

The NPI number for Jake Sanford is 1184125288. It was assigned to this individual provider in the NPPES registry on February 23, 2018.

Q: What is Jake Sanford's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jake Sanford was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 23, 2018

749 N OVERLAND AVE, BURLEY, ID 83318(208) 260-0917(208) 261-5004 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2024, Feb 23, 2018 (2 updates tracked since 2018).

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About Dr. Jake W Sanford Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAKE W SANFORD DC (NPI 1184125288) is an individual chiropractor in Burley, Idaho, licensed in Idaho (CHIA-1817) and active in the NPI registry since February 2018. He is a graduate of Western States College Of Chiropractic (2017).

NPPES Registry Identity

NPI1184125288

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. JAKE W SANFORDCredential: DC

Location Address749 N OVERLAND AVEBurley, ID 83318-3440

Mailing Address2200 Macs AveHeyburn, ID 83336-9734 · (208) 670-5450 · Fax (208) 261-5004

Phone(208) 260-0917

Fax(208) 261-5004

Sole ProprietorNo

Medical School CMSWestern States College Of ChiropracticGraduated 2017

Enumeration DateFebruary 23, 2018

Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2024

✔ NPI 1184125288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in ID · CHIA-1817

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

749 N OVERLAND AVE, Burley, ID 83318

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jake W Sanford Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597029470

PECOS Enrollment IDI20180430002083

Medicare Billing Reassignment

Medicare enrollment records show Jake Sanford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mini-Cassia Chiropractic & Sports Medicine PLLC

Same address

Chiropractor

749 N OVERLAND AVE
Burley, ID 83318

Reassigned Medicare billing, Idaho enrollment

NPI 1942705546 (208) 260-0917

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINI-CASSIA CHIROPRACTIC & SPORTS MEDICINE PLLC

Chiropractor

749 N OVERLAND AVE
BURLEY, ID 83318

Cassia County (208) 260-0917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Sanford's NPI number?

The NPI number for Jake Sanford is 1184125288. It was assigned to this individual provider in the NPPES registry on February 23, 2018.

Where is Jake Sanford located?

Jake Sanford practices at 749 N Overland Ave, Burley, ID 83318. The listed phone number is (208) 260-0917.

What is Jake Sanford's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jake Sanford enrolled in Medicare?

Yes. Jake Sanford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jake Sanford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jake Sanford reassigns Medicare benefits to Mini-Cassia Chiropractic & Sports Medicine PLLC (Burley, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jake Sanford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jake Sanford accept?

Health plans from Select Health list Jake Sanford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jake Sanford was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.