Samantha S Vitek, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6205 Issued in MN

Practice address

2112 Lyndale Ave S
Minneapolis, MN 55405

Phone

(816) 456-8195

NPI assigned

Jul 3, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha S White Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chirocenter MN IncGroup PAC ID 8224214390, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Chirocenter MN, Inc.

  • Chiropractor
  • Minneapolis, MN
  • NPI 1750673117
  Medicare reassignment Care Compare group NPD
• Chirocenter MN, Inc.

  • Chiropractor
  • Minneapolis, MN
  • NPI 1629355755
  NPD

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1285998351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554053026",
            "telephone_number": "816-456-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55405",
            "telephone_number": "816-456-8195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 N Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "MO",
            "postal_code": "644681157",
            "country_code": "US",
            "telephone_number": "816-456-8196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITEK",
        "first_name": "SAMANTHA",
        "middle_name": "S",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "WHITE",
            "middle_name": "S",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vitality Family Mental Health, LLC
• Vitality Mental Health Services LLC
• Samantha Vite
• Ashley Vitek, LICSW
• Jerrold L Vitek, MD
• Colleen M Vivant, PTA
• Ioana Vladislav
• Joshua David Vlieger
• Zeev Vlodaver, M.D.
• Isaac Vo

• All providers in Minneapolis, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.