Individual provider Active NPI

Samantha Christine Chapel, DC

  • Chiropractor
  • Chesterfield, MO
National Provider Identifier
1669989828
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2018000026 Issued in MO
Practice address
936 Chesterfield Pkwy E
Chesterfield, MO 63017-2042
Phone
(636) 537-0564
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2018000026 MO Primary

Addresses

Primary practice location

936 Chesterfield Pkwy E
Chesterfield, MO 63017-2042

Mailing address

936 Chesterfield Pkwy E
Chesterfield, MO 63017-2042
Phone (636) 537-0564

Other names 1

  • Samantha Christine Davies Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180323000186 MO Practitioner - Chiropractic 2466714852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

936 Chesterfield Pkwy E
Chesterfield, MO 63017-2042
Phone (636) 537-0564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revitalize Chiropractic, LLC Chiropractor CurrentSince Feb 1, 2018 Accepting new patients

Locations

936 Chesterfield Pkwy E
Chesterfield, MO 63017
Phone (636) 537-0564

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": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1669989828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 CHESTERFIELD PKWY E",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172042",
            "telephone_number": "636-537-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 CHESTERFIELD PKWY E",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172042",
            "telephone_number": "636-537-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPEL",
        "first_name": "SAMANTHA",
        "middle_name": "CHRISTINE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2018000026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "DAVIES",
            "middle_name": "CHRISTINE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.