Samuel Brook Ellis

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301401616 Issued in MI

Practice address

PO Box 236
Charlotte, MI 48813-0236

Phone

(517) 543-1115

NPI assigned

Mar 11, 2025

Last updated

Mar 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dawson Family Chiropractic PracticeGroup PAC ID 6103112420, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dawson Family Chiropractic Practice

  dba Marshall Chiropractic Life Center

  • Chiropractor
  • Marshall, MI
  • NPI 1043764558
  Medicare reassignment Care Compare group NPD
• Craft Chiropractic Center PC

  • Chiropractor
  • Charlotte, MI
  • NPI 1700849379
  NPD (past)

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1023817103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488130236",
            "telephone_number": "517-543-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488130236",
            "telephone_number": "517-543-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "SAMUEL",
        "middle_name": "BROOK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eaton Behavioral Health
• Eaton County Health and Rehabilitation Services
• Eaton County Health and Rehabilitation Services (Wellness 101)
• Eaton Intermediate School District
• Jessica Edel, PH.D., CBD, PCD
• Emerald Medical Center PLC
• Eye Care Associates of Charlotte PLLC
• Dana Johanna Falardeau
• Falik Family Dentistry
• Robert Charles Falik, D.D.S.

• Chiropractor in Charlotte, MI
• Providers in Charlotte, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.