Angela Samuelson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05708 Issued in KS

Practice address

10850 Lowell Ave
Overland Park, KS 66210-1613

Phone

(913) 234-0700

NPI assigned

May 14, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Conway Former name

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleveland University Kansas CityGroup PAC ID 8921065681, 12 clinicians

Kansas City Care ClinicGroup PAC ID 9335386168, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cleveland University Kansas City

  • Chiropractor
  • Overland Park, KS
  • NPI 1558754341
  Medicare reassignment Care Compare group NPD
• Kansas City Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1215273388
  Medicare reassignment Care Compare group NPD
• Kansas City Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1437897774
  NPD

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1619355278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 LOCUST ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032407",
            "telephone_number": "913-449-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 LOWELL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101613",
            "telephone_number": "913-234-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9601 W 87th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662124570",
            "country_code": "US",
            "telephone_number": "913-449-2295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "ANGELA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CONWAY",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Priya R. Samuel, LMSW
• Vijaya P Samuel, MD
• Stephen Daryl Samuelson, M.D.
• Thomas S Samuelson, M.D.
• Sana Lake Recovery Center, LLC
• Miranda Sanabria
• Ernestina Sanchez-Embrey, M.S., LCGC

• Chiropractor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.