Katie Marie Sam, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4581-012 Issued in WI

Practice address

411 N Grand Ave
Waukesha, WI 53186-4961

Phone

(262) 521-0028

NPI assigned

Feb 18, 2009

Sex

Female

Sole proprietor

Yes

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 WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kolman Fam Chiropractic LLCGroup PAC ID 6901948587, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monarch Chiropractic LLC

  • Chiropractor
  • Wales, WI
  • NPI 1265763023
  Medicare reassignment Care Compare group NPD
• Waukesha Family Chiropractic, LLC

  • Chiropractor
  • Waukesha, WI
  • NPI 1225425226
  Authorized official Same address or phone
• Perugini Chiropractic SC

  • Chiropractor
  • Mukwonago, WI
  • NPI 1265639355
  NPD (past)

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1366681108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N GRAND AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864961",
            "telephone_number": "262-521-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N GRAND AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864961",
            "telephone_number": "262-521-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4581-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emily Nicole Salske, DPT
• Laura Saltzmann, PA-C
• Sam's Club Optical (Sam's Club Optical 30-8164)
• Kimberly J. Sampson, MSSW
• Sams East Inc (Sams Pharmacy 10-8164)
• Federico A. Sanchez, M.D.
• Cori Sandall

• Chiropractor in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.