Individual provider Active NPI

Samson Michael Finneran, D.C.

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1235593088
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4619 Issued in NC
Practice address
4904 Waters Edge Dr
Suite 160
Raleigh, NC 27606-2484
Phone
(702) 556-6293
NPI assigned
Apr 7, 2016
Last updated
Apr 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4619 NC Primary

Addresses

Primary practice location

4904 Waters Edge Dr
Suite 160
Raleigh, NC 27606-2484

Mailing address

4904 Waters Edge Dr
Suite 160
Raleigh, NC 27606-2484
Phone (702) 556-6293

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1235593088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 WATERS EDGE DR",
            "address_2": "SUITE 160",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062484",
            "telephone_number": "702-556-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 WATERS EDGE DR",
            "address_2": "SUITE 160",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062484",
            "telephone_number": "702-556-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNERAN",
        "first_name": "SAMSON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.