SAMANTHA SHORE (NPI# 1629530407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629530407 |
| Entity Type | Individual |
| Full Name | SAMANTHA SHORE |
| Credential | ND, MSOM, LAC |
| Practice Address |
300 E Ogden Ave Naperville IL 60563-3159 |
| Practice Telephone | 6304470124 |
| Mailing Telephone | 6302838817 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 198.001456 | IL | Other Service Providers |
| N | 175F00000X | Naturopath | 099.0130665 | VT | Other Service Providers |
| Street Address |
300 E OGDEN AVE |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-3159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376104208 | Acuwell LLC | Acupuncturist | 300 E Ogden Ave, Naperville, IL 60563-3159 | 2019-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277853 | Libin Liu | Acupuncturist | 1113 Dickens Ave, Naperville, IL 60563-4302 | 2020-02-12 |
| 1982192449 | Holistic Acuclinic LLC | Acupuncturist | 1100 Sherman Ave Ste 115, Naperville, IL 60563-4855 | 2018-04-30 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1215397732 | Jun Fu | Acupuncturist | 1155 Lakewood Cir, Naperville, IL 60540-0999 | 2016-02-25 |
| 1457718397 | David Mayer | Acupuncturist | 29 S Webster St Ste 250, Naperville, IL 60540-4560 | 2016-01-22 |
| 1902217151 | Lauren Mclaughlin | Acupuncturist | 710 E Ogden Ave Ste 645, Naperville, IL 60563 | 2014-05-09 |
| 1467759563 | Jyoti R Madhavan | Acupuncturist | 1308 Hollytowne Ct, Naperville, IL 60565-1707 | 2011-02-25 |
| 1902133374 | Brenda Macneil | Acupuncturist | 175 Jackson Ave, Suite 235, Naperville, IL 60540-5321 | 2009-11-05 |
| 1275774754 | Karen Kerasotes Kerfoot | Acupuncturist | 957 Monticello Dr, Naperville, IL 60563-3263 | 2009-03-13 |
| 1942405485 | Zhijiang Chen | Acupuncturist | 1776 Legacy Circle Suite 102, Naperville, IL 60563 | 2007-06-15 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.