Samuel Wetherell, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08003261A Issued in IN

Practice address

8924 E 96TH St
Fishers, IN 46037-9648

Phone

(317) 588-9414

NPI assigned

Sep 29, 2021

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 IN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2021

Medicare assignment

May accept Medicare assignment

Group practices

The Kingdom Chiropractic LLCGroup PAC ID 4082145198, 2 clinicians

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.

• The Kingdom Chiropractic LLC

  • Chiropractor
  • Fishers, IN
  • NPI 1275370538
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1487326344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 ELKHORN DR",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460626528",
            "telephone_number": "217-251-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8924 E 96TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379648",
            "telephone_number": "317-588-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHERELL",
        "first_name": "SAMUEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003261A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Jay Werbil, LMHC
• Abbey Werkley
• Jennifer Werling, LCSW
• Lauren Westlake, CPNP
• Westview Delivery System Inc
• Jamie Wezensky, M.S. CCC-SLP
• Celeste Beatrice Whalen
• Jennifer Marie Whaley, LCSW
• Jeffrey A Wheeler, M.D.
• Aaron Michael Whipp, D.O.

• Chiropractor in Fishers, IN
• Providers in Fishers, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.