Organization Active NPI

Samson Family Chiropractic & Wellness PC

Doing business as Horizon Family Chiropractic

  • Chiropractor
  • Minot, ND
National Provider Identifier
1609177542
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
869 Issued in ND
Legal business name
SAMSON FAMILY CHIROPRACTIC & WELLNESS PC
Doing business as
Horizon Family Chiropractic
Practice address
1400 37TH Ave SW Ste C
Minot, ND 58701-7342
Phone
(701) 837-9355
Fax
(701) 837-0243
NPI assigned
Nov 9, 2010
Last updated
Feb 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Dr. Matthew J Samson, D.C.NPI 1366742603
Title
Doctor of Chiropractic
Phone
(701) 837-9355

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
Chiropractor 111N00000X 869 ND Primary

Addresses

Primary practice location

1400 37TH Ave SW Ste C
Minot, ND 58701-7342

Mailing address

1400 37TH Ave SW Ste C
Minot, ND 58701-7342
Phone (701) 837-9355

Other names 1

  • Horizon Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110124000888 ND Part B Supplier - Clinic/Group Practice 9234318288 Receives reassigned benefits from 1 practitioner
Practice locations: Minot, ND

National Provider Directory

National Provider Directory

Locations

1400 37th Ave SW
Ste C
Minot, ND 58701
Phone (701) 837-9355

408 20th Ave SW
Ste 102
Minot, ND 58701
Phone (701) 837-9355

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1609177542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 37TH AVE SW STE C",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017342",
            "telephone_number": "701-837-9355",
            "fax_number": "701-837-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 37TH AVE SW STE C",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017342",
            "telephone_number": "701-837-9355",
            "fax_number": "701-837-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMSON FAMILY CHIROPRACTIC & WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "701-837-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horizon Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.