Individual provider Active NPI

Nasser Samadi, DC

  • Chiropractor
  • Richardson, TX
National Provider Identifier
1790409209
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15305 Issued in TX
Practice address
1801 Gateway Blvd Ste 214
Richardson, TX 75080-3646
Phone
(469) 941-9671
Fax
(214) 272-3076
NPI assigned
Sep 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15305 TX Primary

Addresses

Primary practice location

1801 Gateway Blvd Ste 214
Richardson, TX 75080-3646

Mailing address

1801 Gateway Blvd Ste 214
Richardson, TX 75080-3646
Phone (469) 941-9671

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918004181 TX Practitioner - Chiropractic 1557802444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1801 Gateway Blvd
Suite 214
Richardson, TX 75080-3646
Phone (469) 927-9027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15305TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crown Chiropractic Clinics Chiropractor CurrentSince Jul 1, 2024 Accepting new patients

Locations

1801 Gateway Blvd
Ste 214
Richardson, TX 75080
Phone (469) 927-9027

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": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1790409209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 GATEWAY BLVD STE 214",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803646",
            "telephone_number": "469-941-9671",
            "fax_number": "214-272-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GATEWAY BLVD STE 214",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803646",
            "telephone_number": "469-941-9671",
            "fax_number": "214-272-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMADI",
        "first_name": "NASSER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-28",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.