Individual provider Active NPI

Samantha Marie Devizio, DC

  • Chiropractor
  • Bowie, MD
National Provider Identifier
1558993857
Registry record updated Feb 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S04047 Issued in MD
Practice address
4345 Northview Dr
Bowie, MD 20716-2602
Phone
(301) 304-1028
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S04047 MD Primary

Addresses

Primary practice location

4345 Northview Dr
Bowie, MD 20716-2602

Mailing address

4345 Northview Dr
Bowie, MD 20716-2602

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210330002274 DC Practitioner - Chiropractic 3779990205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Adio, IncGroup PAC ID 0345315214, 2 clinicians

Practice addresses (Care Compare)

4365 Northview Dr
Adio Specific Chiro
Bowie, MD 20716-2603
Phone (301) 262-2346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Chiropractic,LLC Chiropractor CurrentSince Feb 17, 2022 Accepting new patients
Adio, Inc Chiropractor CurrentSince Jul 1, 2025 Accepting new patients

Locations

4365 Northview Dr
Bowie, MD 20716
Phone (301) 262-2346

4345 Northview Dr
Bowie, MD 20716
Phone (301) 464-5656

525 Main St
Ste 105
Laurel, MD 20707
Phone (301) 725-6884

11231 Lockwood Dr
Silver Spring, MD 20901
Phone (301) 289-7789

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1558993857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 NORTHVIEW DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 NORTHVIEW DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162602",
            "telephone_number": "301-304-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVIZIO",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; 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.