Individual provider Active NPI

Samuel C Hanson, DC

  • Chiropractor
  • Blacksburg, VA
National Provider Identifier
1205785094
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104558142 Issued in VA
Practice address
620 N Main St Ste 203
Blacksburg, VA 24060-3385
Phone
(540) 951-4357
Fax
(540) 951-1202
NPI assigned
Jan 24, 2026
Last updated
Jan 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104558142 VA Primary

Addresses

Primary practice location

620 N Main St Ste 203
Blacksburg, VA 24060-3385

Mailing address

620 N Main St Ste 202
Blacksburg, VA 24060-3385
Phone (540) 951-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

620 N Main St
Suite 202
Blacksburg, VA 24060-3385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104558142VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tuck Chiropractic Corporation Chiropractor CurrentSince Sep 1, 2024 Accepting new patients
Tuck Chiropractic Corporation PastSince Dec 15, 2024 Accepting new patients

Locations

620 N Main St
Ste 202
Blacksburg, VA 24060

620 N Main St
Ste 203
Blacksburg, VA 24060
Phone (540) 951-4357

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, 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": "1769212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769212800000",
    "number": "1205785094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N MAIN ST STE 202",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603385",
            "telephone_number": "540-951-6900",
            "fax_number": "540-951-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N MAIN ST STE 203",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603385",
            "telephone_number": "540-951-4357",
            "fax_number": "540-951-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "SAMUEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-24",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104558142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.