Individual provider Active NPI

Samantha A Kreinbring, DC

  • Chiropractor
  • Lafayette, IN
National Provider Identifier
1487139648
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003056A Issued in IN
Practice address
12 Elston Rd
Lafayette, IN 47909-7000
Phone
(765) 477-7707
NPI assigned
Oct 3, 2018
Last updated
Oct 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003056A IN Primary

Addresses

Primary practice location

12 Elston Rd
Lafayette, IN 47909-7000

Mailing address

PO Box 250
Winamac, IN 46996-0250
Phone (574) 946-4113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181029003048 IN Practitioner - Chiropractic 3870846488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Goble Heal Chiropractic PCGroup PAC ID 4789637497, 5 clinicians

Practice addresses (Care Compare)

12 Elston Rd
Renew Health Chiropractic
Lafayette, IN 47909-7000
Phone (765) 477-7707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Goble Heal Chiropractic PC Chiropractor CurrentSince Oct 2, 2018 Accepting new patients

Locations

12 Elston Rd
Lafayette, IN 47909
Phone (765) 477-7707

800 Main St
Rochester, IN 46975
Phone (574) 223-5557

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1487139648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469960250",
            "telephone_number": "574-946-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ELSTON RD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479097000",
            "telephone_number": "765-477-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREINBRING",
        "first_name": "SAMANTHA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003056A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.