Individual provider Active NPI

Ynes Rodriguez Samuels, D.C., A.C.N., M.D.

  • Nutrition Chiropractor
  • Houston, TX
National Provider Identifier
1003939901
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
9920 Issued in TX
Practice address
9402 Mesa Dr
Houston, TX 77028-1201
Phone
(713) 633-1626
Fax
(866) 404-8005
NPI assigned
Apr 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 9920 TX Primary

Addresses

Primary practice location

9402 Mesa Dr
Houston, TX 77028-1201

Mailing address

13803 Fair Park Dr
Houston, TX 77014-3640
Phone (281) 782-2611

Other practice location 1

3308 Aldine Mail Rd
Suite J
Houston, TX 77039-4658
Phone (281) 741-7712

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9920TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1003939901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13803 FAIR PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770143640",
            "telephone_number": "281-782-2611",
            "fax_number": "281-741-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9402 MESA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770281201",
            "telephone_number": "713-633-1626",
            "fax_number": "866-404-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3308 Aldine Mail Rd",
            "address_2": "Suite J",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770394658",
            "country_code": "US",
            "telephone_number": "281-741-7712",
            "fax_number": "281-741-7672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "YNES",
        "middle_name": "RODRIGUEZ",
        "name_prefix": "Dr.",
        "credential": "D.C., A.C.N., M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-08",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "9920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.