Individual provider Active NPI

Samuel George Haman, DC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1174265292
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR-008522 Issued in CO
Practice address
5962 Stetson Hills Blvd
Colorado Springs, CO 80923-3579
Phone
(719) 596-8700
Fax
(719) 596-8704
NPI assigned
Apr 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHR-008522 CO Primary

Addresses

Primary practice location

5962 Stetson Hills Blvd
Colorado Springs, CO 80923-3579

Mailing address

5962 Stetson Hills Blvd
Colorado Springs, CO 80923-3579
Phone (719) 596-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220511001246 CO Practitioner - Chiropractic 9638556756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR-008522COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Health Systems Chiropractor CurrentSince Aug 23, 2023 Accepting new patients
Conrad Chiropractic & Wellness P.C. Single Specialty CurrentSince Apr 17, 2022 Accepting new patients

Locations

5962 Stetson Hills Blvd
Colorado Springs, CO 80923
Phone (719) 573-8664

4209 Centennial Blvd
Colorado Springs, CO 80907
Phone (719) 268-8939

5928 Stetson Hills Blvd
Ste 100
Colorado Springs, CO 80923
Phone (719) 596-8700

20 Mount View Ln
Ste C
Colorado Springs, CO 80907

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": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1174265292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 STETSON HILLS BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233579",
            "telephone_number": "719-596-8700",
            "fax_number": "719-596-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5962 STETSON HILLS BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233579",
            "telephone_number": "719-596-8700",
            "fax_number": "719-596-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMAN",
        "first_name": "SAMUEL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-09",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR-008522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

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