Individual provider Active NPI

Samantha Wilfong, D.C.

  • Chiropractor
  • Meadville, PA
National Provider Identifier
1164794699
Registry record updated Feb 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010526 Issued in PA
Practice address
390 Park Ave
Ste 105
Meadville, PA 16335-1243
Phone
(814) 337-0070
Fax
(814) 337-0300
NPI assigned
Jan 30, 2012
Last updated
Feb 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010526 PA Primary

Addresses

Primary practice location

390 Park Ave
Ste 105
Meadville, PA 16335-1243

Mailing address

390 Park Ave
Ste 105
Meadville, PA 16335-1243
Phone (814) 337-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210810002213 NY Practitioner - Chiropractic 5799947453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munroe ChiropracticGroup PAC ID 5890762660, 6 clinicians

Practice addresses (Care Compare)

6035 Main St
Williamsville, NY 14221-6865
Phone (716) 632-4476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010526PAMDChiropractor
013141NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Munroe Chiropractic Chiropractor CurrentSince Oct 22, 2025 Accepting new patients
Office Based Anesthesia Solutions, Inc. Past Accepting new patients
Ars Treatment Centers, P.C. Past Accepting new patients

Locations

6035 Main St
Williamsville, NY 14221
Phone (716) 632-4476

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487980800000",
    "number": "1164794699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 PARK AVE",
            "address_2": "STE 105",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351243",
            "telephone_number": "814-337-0070",
            "fax_number": "814-337-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 PARK AVE",
            "address_2": "STE 105",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351243",
            "telephone_number": "814-337-0070",
            "fax_number": "814-337-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILFONG",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2017-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; 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.