Samuel Reid Lynner, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4642 Issued in OK

Practice address

1214 Oklahoma PLZ
Ada, OK 74820-2291

Phone

(580) 436-9079

NPI assigned

Nov 4, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Ada Family Chiropractic P.L.L.C.Group PAC ID 0840460473, 6 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.

• Ada Family Chiropractic P.L.L.C.

  • Chiropractor
  • Ada, OK
  • NPI 1982902235
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1720801145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 W 16TH ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748207609",
            "telephone_number": "715-690-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 OKLAHOMA PLZ",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202291",
            "telephone_number": "580-436-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNNER",
        "first_name": "SAMUEL",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ladonna Lynnell Luckey, M.S., LPC, LADC-MH
• Lisa Christine Lundgren, LADC/MH #956
• Casey R Lyles
• Benjamin D. Lynch
• Robert Charles Lynch, PA
• Dawsyn Lyon
• Wajiha Maan, MD
• Marissa Danielle Madden
• Hannabella Maddox
• Kevin W Maddox, DO

• Chiropractor in Ada, OK
• Providers in Ada, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.