Individual provider Active NPI

Samuela C Bean, DC

  • Rehabilitation Chiropractor
  • Plano, TX
National Provider Identifier
1164555850
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
8224 Issued in TX
Practice address
905 W Parker Rd
Plano, TX 75023-7122
Phone
(972) 964-7696
Fax
(972) 964-7138
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 8224 TX Primary

Addresses

Primary practice location

905 W Parker Rd
Plano, TX 75023-7122

Mailing address

4933 Sir Casey CT
Carrollton, TX 75010-6608
Phone (214) 870-7109

Other practice location 1

2920 Ridge Rd
Rockwall, TX 75032-5803
Phone (972) 772-4878

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8224TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Rockwall Injury Rehab Rehabilitation Past Accepting new patients
Plano Injury Rehab Rehabilitation PastSince Aug 18, 2024 Accepting new patients

Organizations & group practices 2

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1164555850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4933 SIR CASEY CT",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106608",
            "telephone_number": "214-870-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W PARKER RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750237122",
            "telephone_number": "972-964-7696",
            "fax_number": "972-964-7138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750325803",
            "country_code": "US",
            "telephone_number": "972-772-4878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAN",
        "first_name": "SAMUELA",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "8224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.