Active NPI
Matthew Duane Sams, D.C.
- Chiropractor
- Branson, MO
National Provider Identifier
1457434367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006810
- Practice address
- 225 Violyn Dr
Branson, MO 65616-8128 - Phone
- (417) 334-6660
- Fax
- (417) 334-6661
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 006810 | MO | Primary |
Addresses
Primary practice location
225 Violyn Dr
Branson, MO 65616-8128
Mailing address
225 Violyn Dr
Branson, MO 65616-8128
Phone (417) 334-6660
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128937 | Other | MO | BLUE CROSS BLUE SHIELD |
| 230074281 | Medicaid | MO | |
| 350056657 | Other | MO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Arts Center L.L.C. | Chiropractor | Current | Accepting new patients |
Locations
225 Violyn Dr
Branson, MO 65616
Phone (417) 334-6660
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1457434367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 VIOLYN DR",
"city": "BRANSON",
"state": "MO",
"postal_code": "656168128",
"telephone_number": "417-334-6660",
"fax_number": "417-334-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 VIOLYN DR",
"city": "BRANSON",
"state": "MO",
"postal_code": "656168128",
"telephone_number": "417-334-6660",
"fax_number": "417-334-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMS",
"first_name": "MATTHEW",
"middle_name": "DUANE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "006810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "128937",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "230074281",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350056657",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.