Individual provider Active NPI

Samantha Coleman, DC

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1235166844
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556183 Issued in VA
Practice address
287 Independence Blvd
Ste 311
Virginia Beach, VA 23462-2962
Phone
(757) 271-0001
Fax
(866) 290-7581
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556183 VA Primary

Addresses

Primary practice location

287 Independence Blvd
Ste 311
Virginia Beach, VA 23462-2962

Mailing address

287 Independence Blvd
Ste 311
Virginia Beach, VA 23462-0000
Phone (757) 271-0001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050316000402 VA Practitioner - Chiropractic 2961457510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Chiropractic Solution Center PCGroup PAC ID 7214030956, 2 clinicians

Practice addresses (Care Compare)

4460 Corporation LN
Suite 102
Virginia Beach, VA 23462-3150
Phone (757) 271-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Solution Center, PC Chiropractor CurrentSince Aug 17, 2006 Accepting new patients

Locations

4460 Corporation Ln
Ste 102
Virginia Beach, VA 23462
Phone (757) 271-0001

287 Independence Blvd
Ste 311
Virginia Beach, VA 23462
Phone (757) 271-0001

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1235166844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 INDEPENDENCE BLVD",
            "address_2": "STE 311",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234620000",
            "telephone_number": "757-271-0001",
            "fax_number": "866-290-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 INDEPENDENCE BLVD",
            "address_2": "STE 311",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622962",
            "telephone_number": "757-271-0001",
            "fax_number": "866-290-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.