Active NPI
Samuel Chiropractic PA
- Chiropractor
- Columbia, SC
National Provider Identifier
1407935596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- SAMUEL CHIROPRACTIC PA
- Practice address
- 2757 Laurel St
Suite 4
Columbia, SC 29204-2037 - Phone
- (803) 252-4966
- Fax
- (803) 252-1984
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Virginia K Samuel, DC,CCEP,DABCI,BS,MS,
- Title
- Chiropractor, OT
- Phone
- (803) 252-4966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
2757 Laurel St
Suite 4
Columbia, SC 29204-2037
Mailing address
2757 Laurel St
Suite 4
Columbia, SC 29204-2037
Phone (803) 252-4966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH1561 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580860800000",
"number": "1407935596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2757 LAUREL ST",
"address_2": "SUITE 4",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042037",
"telephone_number": "803-252-4966",
"fax_number": "803-252-1984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2757 LAUREL ST",
"address_2": "SUITE 4",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042037",
"telephone_number": "803-252-4966",
"fax_number": "803-252-1984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL CHIROPRACTIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A",
"authorized_official_last_name": "SAMUEL",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CHIROPRACTOR, OT",
"authorized_official_telephone_number": "803-252-4966",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC,CCEP,DABCI,BS,MS,"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH1561",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.