Samantha Rose Rothbauer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60842943 Issued in WA

Practice address

104 Pike St Ste 210
Seattle, WA 98101-2010

Phone

(206) 623-2225

Fax

(206) 686-7246

NPI assigned

Jun 13, 2018

Last updated

May 2, 2019By the provider in NPPES

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

Other names 1

• Miss Samantha Rose Kreyer Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Club West Chiropractic, PAGroup PAC ID 7416310610, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Club West Chiropractic PA

  • Chiropractor
  • Blaine, MN
  • NPI 1427447432
  Medicare reassignment Care Compare group NPD
• Hopkins Health and Wellness Center PA

  dba DMR Clinic Woodbury

  • Chiropractor
  • Hopkins, MN
  • NPI 1396932067
  Medicare reassignment NPD
• Twin Cities Mobile Chiropractic LLC

  • Home Health Agency
  • Saint Paul, MN
  • NPI 1568123750
  NPD Authorized official
• Chiro One Wellness Center of Pike Street PLLC

  • Chiropractor
  • Seattle, WA
  • NPI 1164294484
  NPD (past)
• Devine Chiropractic and Rehab Center

  dba Devine Chiropractic and Rehab Center, P.S.

  • Chiropractor
  • Seattle, WA
  • NPI 1922291699
  NPD (past)
• Chirocenter MN, Inc.

  dba Uptown Chirocenter

  • Chiropractor
  • Minneapolis, MN
  • NPI 1629355755
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1932692902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 W WAYZATA BLVD",
            "address_2": "STE 200",
            "city": "LONG LAKE",
            "state": "MN",
            "postal_code": "553564100",
            "telephone_number": "206-623-2225",
            "fax_number": "206-686-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PIKE ST STE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012010",
            "telephone_number": "206-623-2225",
            "fax_number": "206-686-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHBAUER",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60842943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "KREYER",
            "middle_name": "ROSE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heidi Roth, LMHC
• Howard Roth, DPM
• Jeremy Roth
• Mara Y Roth, MD
• Rachel M Roth, M.D.
• Alan B Rothblatt, MD
• Marilynn Rothen, RDH
• Natalie Rothenberger
• Sarah Rothgeb, MSW, LICSW
• Ivan Rothman, ARNP

• Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.