Individual provider Active NPI

Samuel Symmank, D.C.

  • Chiropractor
  • Frisco, TX
National Provider Identifier
1942287768
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC9044 Issued in TX
Practice address
5729 Lebanon Rd
Ste 144
Frisco, TX 75034-7259
Phone
(214) 596-2880
Fax
(972) 540-6226
NPI assigned
Dec 22, 2005
Last updated
Sep 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC9044 TX Primary

Addresses

Primary practice location

5729 Lebanon Rd
Ste 144
Frisco, TX 75034-7259

Mailing address

5100 Eldorado Pkwy
Suite 803
McKinney, TX 75070-6309
Phone (214) 596-2880

Other identifiers 1

IdentifierTypeStateIssuer
8J9011OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000819 TX Practitioner - Chiropractic 7416984778 Practice locations: Frisco, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC9044TXMDChiropractor

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, 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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1942287768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 ELDORADO PKWY",
            "address_2": "SUITE 803",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706309",
            "telephone_number": "214-596-2880",
            "fax_number": "972-767-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5729 LEBANON RD",
            "address_2": "STE 144",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347259",
            "telephone_number": "214-596-2880",
            "fax_number": "972-540-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMMANK",
        "first_name": "SAMUEL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC9044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8J9011",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.