Provider Type Icon

DR. JODY LEONA SAMUELSON DC NPI 1205818507


NPI Information

NPI: 1205818507
Provider Name: DR. JODY LEONA SAMUELSON, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Organization: ORACLE INDUSTRIES I LTD Address:
3919 W CACTUS RD
PHOENIX, AZ
ZIP 85029
Phone: (602) 547-1860
Get Directions

DR. Jody Leona Samuelson, DC is a chiropractor in Phoenix, AZ with 30 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Jody Leona Samuelson, DC NPI is 1205818507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduation Year:1994

The provider's business location address is:

3919 W CACTUS RD
PHOENIX, AZ
ZIP 85029-935
Phone: (602) 547-1860
Fax: (602) 547-1861

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)

The enumeration date for this NPI number is 11/14/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor5356ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AZ0939090OTHERARIZONABC
2G85539MEDICARE UPIN
376139MEDICARE ID-TYPE UNSPECIFIEDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.