Individual provider Active NPI

Samantha Hannah Fehr

  • Pediatric Chiropractor
  • Fayetteville, NY
National Provider Identifier
1255188603
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
013835 Issued in NY
Practice address
423 E Genesee St
Fayetteville, NY 13066-1368
Phone
(425) 877-3420
NPI assigned
May 3, 2024
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013835 NY
Pediatric Chiropractor 111NP0017X 013835 NY Primary

Addresses

Primary practice location

423 E Genesee St
Fayetteville, NY 13066-1368

Mailing address

4489 Pompey Center Rd
Manlius, NY 13104-9366
Phone (425) 877-3420

Other practice location 1

1116 Upper Lenox Ave
Oneida, NY 13421-1534
Phone (315) 363-4114

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

State licenses

LicenseStateTypeSpecialty
013835NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lombardi Chiropractic PC Chiropractor PastSince May 1, 2024 Accepting new patients
Lombardi Chiropractic PLLC Chiropractor PastSince May 1, 2024 Accepting new patients

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": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1255188603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4489 POMPEY CENTER RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131049366",
            "telephone_number": "425-877-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661368",
            "telephone_number": "425-877-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 Upper Lenox Ave",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "NY",
            "postal_code": "134211534",
            "country_code": "US",
            "telephone_number": "315-363-4114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEHR",
        "first_name": "SAMANTHA",
        "middle_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013835",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "NY",
            "license": "013835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.