Organization Active NPI

Sampson Chiropractic and Sports Inj

  • Primary Care Clinic/Center
  • Crystal River, FL
National Provider Identifier
1619101532
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
CH9594 Issued in FL
Legal business name
SAMPSON CHIROPRACTIC AND SPORTS INJ
Practice address
924 N Suncoast Blvd
Crystal River, FL 34429-5472
Phone
(352) 564-0460
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Dr. Eric A Sampson, D.C.NPI 1104086834
Title
Doctor
Phone
(352) 564-0460

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
Primary Care Clinic/Center 261QP2300X CH9594 FL Primary

Addresses

Primary practice location

924 N Suncoast Blvd
Crystal River, FL 34429-5472

Mailing address

924 N Suncoast Blvd
Crystal River, FL 34429-5472
Phone (352) 564-0460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090514000286 FL Part B Supplier - Clinic/Group Practice 5395894737 Receives reassigned benefits from 1 practitioner
Practice locations: Crystal River, FL

National Provider Directory

National Provider Directory

Locations

823 NE 5th St
Crystal River, FL 34429
Phone (352) 546-7001

924 N Suncoast Blvd
Crystal River, FL 34429
Phone (352) 564-0460

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": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1619101532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N SUNCOAST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344295472",
            "telephone_number": "352-564-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N SUNCOAST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344295472",
            "telephone_number": "352-564-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPSON CHIROPRACTIC AND SPORTS INJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "352-564-0460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "CH9594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.