Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063841807 Individual Practitioner Female Practitioner

Dr. Shalom Samuel , DC

Chiropractor • Madison, WI

Professional Overview & Biography Verified Profile Summary

Dr. Shalom Samuel, DC is a registered healthcare professional specializing in Chiropractor in Madison, WI. Practice services are available at 2810 CROSSROADS DR STE 4000 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2810 Crossroads Dr Ste 4000

Madison, WI 537188014

Telephone 6086164606
Associated Practice Facility / Clinic
🏢 Endearment Unlimited, Llc Facility NPI 1013405851

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Madison, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.6 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
115 Specialists

Practicing in Madison, WI (2664 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-24
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WI 5352-12

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.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License AZ 8352

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Mai Thao , RN

Registered Nurse

NPI 1568127694

Registered Nurse

Kelly Mcallister , RN, BSN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1710681903

Registered Nurse, Bachelor of Science in Nursing, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Elizabeth Armstrong , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1780033431

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 24, 2021

Registered at 2810 CROSSROADS DR STE 4000, MADISON, WI 537188014 (Tel: 6086164606)

📍
Updated Business Mailing Address September 24, 2021

Registered at 1059 PROVIDENCE CMN, SUN PRAIRIE, WI 535904586 (Tel: 6088868568)

NPI Profile Active November 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2013

Registered at 5810 S HIGHWAY 95, SUITE 2, FORT MOHAVE, AZ 864266076 (Tel: 9287681122)

📍
Updated Business Mailing Address November 02, 2013

Registered at 5810 S HIGHWAY 95, SUITE 2, FORT MOHAVE, AZ 864266076 (Tel: 9287681122)

👤
Provider Name / Credentials Updated November 02, 2013

Recorded as SHALOM SAMUEL, D.C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2013

Chiropractor (License #8352 in AZ)

🟢
Initial NPI Registration & Enumeration November 02, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063841807
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2013
Last Update: September 24, 2021
Sole Proprietor: No

Mailing Address

1059 Providence Cmn

Sun Prairie, WI 535904586

Phone: 6088868568

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.