Individual provider Active NPI

Samuel Kirshner

  • Chiropractor
  • West Chester, PA
National Provider Identifier
1881267532
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011666 Issued in PA
Practice address
1646 West Chester Pike
West Chester, PA 19382
Phone
(484) 999-8142
NPI assigned
Jul 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 DC011666 PA Primary

Addresses

Primary practice location

1646 West Chester Pike
West Chester, PA 19382

Mailing address

580 S Goddard Blvd Apt 2131
King of Prussia, PA 19406-3278
Phone (484) 860-6874

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250507001803 DC Practitioner - Chiropractic 7012312028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Rxwellness Spine and Health - Herndon Reston LLCGroup PAC ID 8224449103, 6 clinicians

Practice addresses (Care Compare)

950 Herndon Pkwy
Suite 130
Herndon, VA 20170-5526
Phone (703) 904-9666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rxwellness Spine & Health - Herndon Reston LLC Chiropractor CurrentSince Mar 1, 2025 Accepting new patients

Locations

950 Herndon Pkwy
Ste 130
Herndon, VA 20170
Phone (703) 272-5402

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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1881267532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 S GODDARD BLVD APT 2131",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063278",
            "telephone_number": "484-860-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 WEST CHESTER PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19382",
            "telephone_number": "484-999-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSHNER",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.