Active NPI
Samantha Chambers, D.C.
- Chiropractor
- Apple Valley, MN
National Provider Identifier
1255970471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6694
- Practice address
- 14635 Pennock Ave Ste 200
Apple Valley, MN 55124-6587 - Phone
- (952) 693-1030
- Fax
- (952) 432-0701
- NPI assigned
- Jan 6, 2020
- Last updated
- Jan 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6694 | MN | Primary |
Addresses
Primary practice location
14635 Pennock Ave Ste 200
Apple Valley, MN 55124-6587
Mailing address
14631 Hampshire PL
Burnsville, MN 55306-4632
Phone (575) 760-9207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
314 Main St E
Suite 1
New Prague, MN 56071-2448
Phone (952) 785-4121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthsource Chiropractic of New Prague, PA | Chiropractor | Current | Accepting new patients |
Locations
314 Main St E
Ste 1
New Prague, MN 56071
Phone (952) 758-4121
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.
-
- Chiropractor
- New Prague, MN
- NPI 1093469397
-
- Chiropractor
- Plymouth, MN
- NPI 1568679264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1255970471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14631 HAMPSHIRE PL",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553064632",
"telephone_number": "575-760-9207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14635 PENNOCK AVE STE 200",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551246587",
"telephone_number": "952-693-1030",
"fax_number": "952-432-0701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERS",
"first_name": "SAMANTHA",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-06",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.