Yamamoto Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

YAMAMOTO CHIROPRACTIC, LLC

Practice address

2517 N Great Western Dr #L
Prescott Valley, AZ 86314-2597

Phone

(928) 778-1190

Fax

(928) 759-8107

NPI assigned

Nov 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Samuel L Yamamoto, D.C.NPI 1265589691

Title

Owner

Phone

(928) 778-1190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Yamamoto, D.C.

  • Chiropractor
  • Prescott Valley, AZ
  • NPI 1265589691

  AZ, Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1497082580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 N GREAT WESTERN DR STE L",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142597",
            "telephone_number": "928-778-1190",
            "fax_number": "928-759-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 N GREAT WESTERN DR #L",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142597",
            "telephone_number": "928-778-1190",
            "fax_number": "928-759-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAMAMOTO CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "YAMAMOTO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-778-1190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Michael Worrall
• Christine Wright
• Kimber Wright, PMHNP
• Mitchell Paul Wright Jr., R.N.
• Megan Wulff, M.S. CCC-SLP
• Samuel Yamamoto, D.C.
• Anthony Yaniro, N.D.
• Yavapai Chiropractic Associates, PLLC
• Yavapai Community Hospital Association
• Yavapai County

• All providers in Prescott Valley, AZ
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.

Verify at the official NPI Registry.