Organization Active NPI

Dobsch Chiropractic and Family Wellness, LLC

  • Health Service Clinic/Center
  • Marthasville, MO
National Provider Identifier
1518405562
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
2017001188 Issued in MO
Legal business name
DOBSCH CHIROPRACTIC AND FAMILY WELLNESS, LLC
Practice address
200 S Two St
Marthasville, MO 63357-4029
Phone
(636) 229-1825
Fax
(636) 283-6260
NPI assigned
Feb 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Dr. Samantha Lee Rose Dobsch, DCNPI 1194262667
Title
Primary Chiropractor
Phone
(636) 229-1825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 2017001188 MO Primary

Addresses

Primary practice location

200 S Two St
Marthasville, MO 63357-4029

Mailing address

200 S Two St
Marthasville, MO 63357-4029
Phone (636) 390-1878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170327002486 MO Part B Supplier - Clinic/Group Practice 7315222791 Receives reassigned benefits from 1 practitioner
Practice locations: Marthasville, MO

National Provider Directory

National Provider Directory

Locations

1190 Jefferson St
Ste 203
Washington, MO 63090
Phone (636) 239-3265

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1518405562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S TWO ST",
            "city": "MARTHASVILLE",
            "state": "MO",
            "postal_code": "633574029",
            "telephone_number": "636-390-1878",
            "fax_number": "636-283-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S TWO ST",
            "city": "MARTHASVILLE",
            "state": "MO",
            "postal_code": "633574029",
            "telephone_number": "636-229-1825",
            "fax_number": "636-283-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOBSCH CHIROPRACTIC AND FAMILY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "DOBSCH",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "LEE ROSE",
        "authorized_official_title_or_position": "PRIMARY CHIROPRACTOR",
        "authorized_official_telephone_number": "636-229-1825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MO",
            "license": "2017001188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marthasville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.