Active NPI
Samantha M. Diehl, D.C.
- Chiropractor
- O'Fallon, MO
National Provider Identifier
1275871592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2013001722
- Practice address
- 1278 Bryan Rd
O Fallon, MO 63366-3771 - Phone
- (636) 614-0401
- NPI assigned
- Jan 21, 2013
- Last updated
- Jan 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 2013001722 | MO | Primary |
Addresses
Primary practice location
1278 Bryan Rd
O Fallon, MO 63366-3771
Mailing address
1278 Bryan Rd
O Fallon, MO 63366-3771
Phone (636) 614-0401
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2013001722 | MO | MD | Chiropractor |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358726400000",
"number": "1275871592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1278 BRYAN RD",
"city": "O FALLON",
"state": "MO",
"postal_code": "633663771",
"telephone_number": "636-614-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1278 BRYAN RD",
"city": "O FALLON",
"state": "MO",
"postal_code": "633663771",
"telephone_number": "636-614-0401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEHL",
"first_name": "SAMANTHA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-21",
"last_updated": "2013-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2013001722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O'Fallon, MO
- Devine Healthcare LLC
- Sunita Dharmavarapu, MD
- Dialyridez Transport
- Lindsay Ann Murphy Dickerhoff, M.D.
- Diehl Chiropractic (Dr. Samantha Diehl)
- Erin Nicole Diepenbrock, RPH
- Dierbergs Markets Inc (Dierbergs Deer Creek Crossing Pharmacy)
- Emil A Difilippo, M.D.
- Digestive Consultants LLC
- Kenneth Dildine Jr., ATC, LAT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.