Samantha M. Lebouef LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13636 Issued in TX

Legal business name

SAMANTHA M. LEBOUEF LLC

Practice address

102 S Jackson Ave # a
Wylie, TX 75098-3938

Phone

(214) 284-1293

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Lebouef, DCNPI 1730696212

Title

Owner

Phone

(214) 284-1293

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Michelle Lebouef

  • Chiropractor
  • Wylie, TX
  • NPI 1730696212
  Medicare reassignment NPD Authorized official
• Ronnie Kova Ambrose, DC

  • Chiropractor
  • Wylie, TX
  • NPI 1619687266
  NPD

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1003323585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 RIDGESTONE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S JACKSON AVE # A",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983938",
            "telephone_number": "214-284-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA M. LEBOUEF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "LEBOUEF",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-284-1293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleena S. Sabzwari, DMD
• Hanan Said
• Nour Salem
• Aqeel Iqbal Salim, DPT
• Amy Salinas, MA, LPC
• Samuel D Evang
• Lauren Ashley Sanchez, APRN, FNP-C
• Brooklynn Sanders
• Sandsrx, LLC
• Sandsrx, LLC

• Chiropractor in Wylie, TX
• Providers in Wylie, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.