Individual provider Active NPI

Samantha Messina, DC

  • Chiropractor
  • Lexington, SC
National Provider Identifier
1669832879
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4117 Issued in SC
Practice address
5140 Sunset Blvd
Suite a
Lexington, SC 29072-7332
Phone
(803) 609-8503
Fax
(803) 832-1793
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4117 SC Primary

Addresses

Primary practice location

5140 Sunset Blvd
Suite a
Lexington, SC 29072-7332

Mailing address

5140 Sunset Blvd
Suite a
Lexington, SC 29072-7332
Phone (803) 609-8503

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160401000228 SC Practitioner - Chiropractic 1355648668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5140 Sunset Blvd
Suite a
Lexington, SC 29072-7333
Phone (803) 609-8503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4117SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Chiropractic LLC Chiropractor CurrentSince Mar 1, 2016 Accepting new patients

Locations

5140 Sunset Blvd
Ste A
Lexington, SC 29072
Phone (803) 609-8503

Organizations & group practices 1

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": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1669832879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 SUNSET BLVD",
            "address_2": "SUITE A",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727332",
            "telephone_number": "803-609-8503",
            "fax_number": "803-832-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 SUNSET BLVD",
            "address_2": "SUITE A",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727332",
            "telephone_number": "803-609-8503",
            "fax_number": "803-832-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSINA",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.