Individual provider Active NPI

Richard Samoska, D.C.

  • Chiropractor
  • Branford, CT
National Provider Identifier
1891857231
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001507 Issued in CT
Practice address
400 West Main Street
Branford, CT 06485
Phone
(203) 483-7778
Fax
(203) 481-0234
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001507 CT Primary
Chiropractor 111N00000X 1507 CT

Addresses

Primary practice location

400 West Main Street
Branford, CT 06485

Mailing address

400 West Main Street
Branford, CT 06485
Phone (203) 483-7778

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
001507CTMDProfessional Counselor
1507CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnicale Pain Center PastSince Jul 10, 2017 Accepting new patients
Back to Health of Branford, LLC Chiropractor PastSince Jul 15, 2002 Accepting new patients

Organizations & group practices 2

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1891857231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WEST MAIN STREET",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "06485",
            "telephone_number": "203-483-7778",
            "fax_number": "203-481-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST MAIN STREET",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "06485",
            "telephone_number": "203-483-7778",
            "fax_number": "203-481-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOSKA",
        "first_name": "RICHARD",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001507",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.