Samantha Jo Spooner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009163 Issued in MI

Practice address

258 James St Ste 10
Suite B
Holland, MI 49424-1826

Phone

(616) 396-6635

Fax

(616) 396-6679

NPI assigned

Aug 17, 2006

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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parkhurst Chiropractic Life Center PLCGroup PAC ID 7416858337, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Parkhurst Chiropractic Life Center PLC

  • Chiropractor
  • Holland, MI
  • NPI 1104855006
  Medicare reassignment Care Compare group NPD
• Big Rapids Chiropractic, PLC

  • Chiropractor
  • Big Rapids, MI
  • NPI 1760954697
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1467565952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 JAMES ST STE 10",
            "address_2": "SUITE B",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241826",
            "telephone_number": "616-396-6635",
            "fax_number": "616-396-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 JAMES ST STE 10",
            "address_2": "SUITE B",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241826",
            "telephone_number": "616-396-6635",
            "fax_number": "616-396-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOONER",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Lynn Spek, LMSW
• Tyler James Spiering, MD
• Spine Align Products LLC
• David Lee Spoelma
• Blake Rushford Spooner, D.C.
• Holly Jean Sprick, RN
• Ashley Nichole St Andrew, PHARM.D
• Stacy McNeely LMSW PLC
• Roshel Catia Stafford, LMSW
• Donald Leroy Stageman, M.D.

• Chiropractor in Holland, MI
• Providers in Holland, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.