Samuel L Yoder, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5318 Issued in KY

Practice address

605 E Maple St
Campbellsville, KY 42718-1830

Phone

(270) 789-0033

Fax

(270) 789-0038

NPI assigned

Jan 9, 2012

Sex

Male

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 KY

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Campbellsville Chiropractic LLC

  • Chiropractor
  • Campbellsville, KY
  • NPI 1023374683
  NPD Authorized official
• Raymond a. Roberts, D.C., PSC

  • Chiropractor
  • Campbellsville, KY
  • NPI 1700042116
  NPD (past)

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1407126303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E MAPLE ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181830",
            "telephone_number": "270-789-0033",
            "fax_number": "270-789-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E MAPLE ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181830",
            "telephone_number": "270-789-0033",
            "fax_number": "270-789-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "SAMUEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-09",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Alan Wurth, D.M.D
• Ashley Dawn Yates, LPCA
• Brittany Yates
• Rachael Maia Yates, PH.D.
• Terry Lynn Yates Jr., PHARMD
• Erica Lynn Young, PT
• Isaiah Young, RN
• Yoshimi Zoeller, COTA/L
• Miranda Kay Zottman, PHARMD

• Chiropractor in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.