Samantha Wunder, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11990 Issued in FL

Practice address

315 N Ridgewood Ave Ste 1300
Edgewater, FL 32132-1617

Phone

(386) 427-8403

Fax

(386) 269-9541

NPI assigned

Oct 17, 2016

Sex

Female

Sole proprietor

No

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 FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmer College FoundationGroup PAC ID 1557266863, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Palmer College Foundation

  • Chiropractor
  • Port Orange, FL
  • NPI 1568552255
  Medicare reassignment Care Compare group NPD
• Coastal Integrative Healthcare Inc

  • Nurse Practitioner
  • Edgewater, FL
  • NPI 1093126203

  Chiropractor

  Medicare reassignment NPD
• Lake Mary Chiropractic Center PA

  • Chiropractor
  • Lake Mary, FL
  • NPI 1376729525
  Medicare reassignment
• Coastal Integrative Healthcare Inc

  • Durable Medical Equipment & Medical Supplies
  • Palm Coast, FL
  • NPI 1477161073
  NPD
• Procare Chiropractic and Rehab LLC

  • Chiropractor
  • Oviedo, FL
  • NPI 1063027316
  NPD
• Palmer College Foundation

  • Chiropractor
  • Davenport, IA
  • NPI 1174535181
  NPD
• Heart Group PA

  • Interventional Cardiology Physician
  • Daytona Beach, FL
  • NPI 1831142470
  NPD (past)

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1922559889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321617",
            "telephone_number": "386-427-8403",
            "fax_number": "386-269-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N RIDGEWOOD AVE STE 1300",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321617",
            "telephone_number": "386-427-8403",
            "fax_number": "386-269-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNDER",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Kim Watson, RN
• Waypoint Medical North LLC
• Merida Williams
• Audra Mary Willsey, LCSW
• Chenoa Yancey, MA
• Ypd Wellness Inc

• Chiropractor in Edgewater, FL
• Providers in Edgewater, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.