Individual provider Active NPI

Samantha Alexander, D.C.

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1215513411
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01892 Issued in NV
Practice address
10840 Rosin Jaw St
Las Vegas, NV 89183-4507
Phone
(479) 301-6249
NPI assigned
Mar 19, 2021
Last updated
May 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06109 KS
Chiropractor 111N00000X B01892 NV Primary

Addresses

Primary practice location

10840 Rosin Jaw St
Las Vegas, NV 89183-4507

Mailing address

10840 Rosin Jaw St
Las Vegas, NV 89183-4507

Other practice location 1

2779 W Horizon Ridge Pkwy
Henderson, NV 89052-4184
Phone (702) 948-2520

Other practice location 2

9627 W 87th St
Overland Park, KS 66212-4570
Phone (479) 301-6249

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531001581 MT Practitioner - Chiropractic 4789041146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Picard Chiropractic Clinic IncGroup PAC ID 2860716008, 2 clinicians

Practice addresses (Care Compare)

2820 Central Ave
Suite D
Billings, MT 59102-8624
Phone (406) 259-4908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-06109KSMDChiropractor
B01892NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Picard Chiropractic Clinic Inc Chiropractor CurrentSince Oct 15, 2025 Accepting new patients

Locations

2820 Central Ave
Ste D
Billings, MT 59102
Phone (406) 259-4908

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, 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": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1215513411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 ROSIN JAW ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891834507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 ROSIN JAW ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891834507",
            "telephone_number": "479-301-6249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2779 W Horizon Ridge Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524184",
            "country_code": "US",
            "telephone_number": "702-948-2520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9627 W 87th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662124570",
            "country_code": "US",
            "telephone_number": "479-301-6249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "SAMANTHA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06109",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.