Samuel Kenneth Boothe, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104555931 Issued in VA

Practice address

340 N Main St
Ste 108
Marion, VA 24354

Phone

(276) 783-7005

Fax

(276) 783-8080

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: boothe@bcc0042.direct.chirotouch.md

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlene M Truhlik, DC

  • Chiropractor
  • Marion, VA
  • NPI 1144227661

  VA

  Medicare reassignment

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.

• Boothe Chirpractic Center, LLC

  • Chiropractor
  • Marion, VA
  • NPI 1760858690
  NPD Authorized official
• Boothe Chiropractic Clinic

  • Chiropractor
  • Marion, VA
  • NPI 1962465187
  NPD (past) Authorized official

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1689601569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N MAIN ST",
            "address_2": "SUITE 108",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543360",
            "telephone_number": "276-783-7005",
            "fax_number": "276-783-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N MAIN ST",
            "address_2": "STE 108",
            "city": "MARION",
            "state": "VA",
            "postal_code": "24354",
            "telephone_number": "276-783-7005",
            "fax_number": "276-783-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTHE",
        "first_name": "SAMUEL",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "434850",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Jane Bodfish
• David R Boehm, LCSW
• Kellie Bonsor, APRN, FNP-BC
• Boothe Chiropractic Clinic
• Boothe Chirpractic Center, LLC
• Karen Lynn Bordwine, FNP-BC
• Elizabeth A. Bradshaw, MS
• Emily Gatewood Buchanan Bralley, D.O.
• Erin Alice Brickley, D.O.
• Bruce R Briggs II, RPH

• All providers in Marion, VA
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.