Active NPI
Samuel Yamamoto, D.C.
- Chiropractor
- Prescott Valley, AZ
National Provider Identifier
1265589691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7203
- 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
- Last updated
- Oct 14, 2014
- Sex
- Male
- 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 | 7203 | AZ | Primary |
Addresses
Primary practice location
2517 N Great Western Dr
#L
Prescott Valley, AZ 86314-2597
Mailing address
2517 N Great Western Dr
#L
Prescott Valley, AZ 86314-2597
Phone (928) 778-1190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2517 N Great Western Dr L
Prescott Valley, AZ 86314-2597
Phone (928) 778-1190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yamamoto Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
2517 N Great Western Dr
Ste L
Prescott Vly, AZ 86314
Phone (928) 710-4695
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Prescott Valley, AZ
- NPI 1497082580
NPI Registry JSON
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": []
}
Other providers in Prescott Valley, AZ
Sources for this page
- 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.