Samuel Yamamoto, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7203 Issued in AZ

Practice address

2517 N Great Western Dr
#L
Prescott Valley, AZ 86314-2597

Phone

(928) 778-1190

Fax

(928) 759-8107

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Yamamoto Chiropractic, LLC

  • Chiropractor
  • Prescott Valley, AZ
  • NPI 1497082580

  AZ, Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1265589691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 N GREAT WESTERN DR",
            "address_2": "#L",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142597",
            "telephone_number": "928-778-1190",
            "fax_number": "928-759-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 N GREAT WESTERN DR",
            "address_2": "#L",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142597",
            "telephone_number": "928-778-1190",
            "fax_number": "928-759-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Wright
• Kimber Wright, PMHNP
• Mitchell Paul Wright Jr., R.N.
• Megan Wulff, M.S. CCC-SLP
• Yamamoto Chiropractic, LLC
• Anthony Yaniro, N.D.
• Yavapai Chiropractic Associates, PLLC
• Yavapai Community Hospital Association
• Yavapai County
• Yavapai Eye Associates PC

• All providers in Prescott Valley, AZ
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.