Active NPI
Samantha Favreau, D.C.
- Chiropractor
- Lubbock, TX
National Provider Identifier
1801241286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12505
- Practice address
- 2630 26TH St
Lubbock, TX 79410-2220 - Phone
- (806) 765-8443
- Fax
- (806) 749-1181
- NPI assigned
- May 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12505 | TX | Primary |
Addresses
Primary practice location
2630 26TH St
Lubbock, TX 79410-2220
Mailing address
2630 26TH St
Lubbock, TX 79410-2220
Phone (806) 765-8443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12505 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1801241286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 26TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794102220",
"telephone_number": "806-765-8443",
"fax_number": "806-749-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 26TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794102220",
"telephone_number": "806-765-8443",
"fax_number": "806-749-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAVREAU",
"first_name": "SAMANTHA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.