Samantha Huffman, DC

Individual provider Active NPI Chiropractor · Arnold, MO

NPI 1619789302 · NPPES record last updated Jan 21, 2025

Key facts

NPI
1619789302
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
2025000970 (MO)
Practice address
1761 Jeffco Blvd
Arnold, MO 63010-2713
Phone
(636) 296-1222
Fax
(636) 296-1226
NPI assigned
Jan 21, 2025
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradley Chiropractic LLC (4 clinicians)

Practice addresses (Care Compare)

1761 Jeffco Blvd
Arnold, MO 63010-2713
Phone (636) 296-1222

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250310002862 MO Practitioner - Chiropractic 4587185202 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Chiropractic LLC Chiropractor Current
since Jan 20, 2025
Accepting new patients
Amy Horn Twenty Seven, LLC Chiropractor Past
since Jan 20, 2025
Accepting new patients

Locations

1761 Jeffco Blvd
Arnold, MO 63010
Phone (636) 296-1222

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2025000970 MO Yes

Addresses

Primary practice location

1761 Jeffco Blvd
Arnold, MO 63010-2713

Mailing address

1761 Jeffco Blvd
Arnold, MO 63010-2713
Phone (636) 296-1222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 21, 2025.

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1619789302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 JEFFCO BLVD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102713",
            "telephone_number": "636-296-1222",
            "fax_number": "636-296-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 JEFFCO BLVD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102713",
            "telephone_number": "636-296-1222",
            "fax_number": "636-296-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "SAMANTHA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2025000970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

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Sources for this page

Verify at the official NPI Registry.