Individual provider Active NPI

Samantha Jones, DC

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1922650159
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11796 Issued in FL
Practice address
2150 S Andrews Ave Ste 201
Fort Lauderdale, FL 33316-3495
Phone
(754) 900-8105
NPI assigned
Jul 9, 2019
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11796 FL Primary

Addresses

Primary practice location

2150 S Andrews Ave Ste 201
Fort Lauderdale, FL 33316-3495

Mailing address

2150 S Andrews Ave Ste 201
Fort Lauderdale, FL 33316-3495
Phone (754) 900-8105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829002865 FL Practitioner - Chiropractic 0941538995

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2950 Griffin Rd
Ft Lauderdale, FL 33312-5648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Feel 21, Inc. Chiropractor CurrentSince Jul 1, 2019 Accepting new patients
Medpro Urgent Care Center, Inc CurrentSince Aug 14, 2019 Accepting new patients

Locations

2150 S Andrews Ave
Ste 201
Fort Lauderdale, FL 33316
Phone (754) 900-8105

2706 Griffin Rd
Ft Lauderdale, FL 33312
Phone (954) 544-5917

2950 Griffin Rd
Ft Lauderdale, FL 33312
Phone (754) 900-8105

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1922650159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 S ANDREWS AVE STE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163495",
            "telephone_number": "754-900-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S ANDREWS AVE STE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163495",
            "telephone_number": "754-900-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.