Individual provider Active NPI

Samantha L Dobsch, DC

  • Chiropractor
  • Marthasville, MO
National Provider Identifier
1194262667
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2017001188 Issued in MO
Practice address
200 S Two St
Marthasville, MO 63357-4029
Phone
(636) 229-1825
NPI assigned
Jan 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2017001188 MO Primary

Addresses

Primary practice location

200 S Two St
Marthasville, MO 63357-4029

Mailing address

200 S Two St
Marthasville, MO 63357-4029
Phone (366) 229-1825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170327002553 MO Practitioner - Chiropractic 8224313606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1190 Jefferson St
Suite 203
Washington, MO 63090-4443

200 S Two St
Marthasville, MO 63357-4029
Phone (636) 229-1825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dobsch Chiropractic and Family Wellness, LLC CurrentSince Jan 27, 2017 Accepting new patients

Locations

1190 Jefferson St
Ste 203
Washington, MO 63090
Phone (636) 239-3265

Organizations & group practices 1

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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1194262667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S TWO ST",
            "city": "MARTHASVILLE",
            "state": "MO",
            "postal_code": "633574029",
            "telephone_number": "366-229-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S TWO ST",
            "city": "MARTHASVILLE",
            "state": "MO",
            "postal_code": "633574029",
            "telephone_number": "636-229-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBSCH",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2017001188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marthasville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.