DR. SAMUEL YAMAMOTO D.C.
NPI 1265589691
Chiropractor in Prescott Valley, AZ

Active since January 05, 2007
2517 N GREAT WESTERN DR, #L, PRESCOTT VALLEY, AZ 86314(928) 778-1190(928) 759-8107 Get Directions Write a Review

NPPES record last updated: October 14, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Samuel Yamamoto D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL YAMAMOTO D.C. (NPI 1265589691) is an individual chiropractor in Prescott Valley, Arizona, licensed in Arizona (7203) and active in the NPI registry since January 2007. He is a graduate of Western States College Of Chiropractic (2001).

NPPES Registry Identity

NPI1265589691
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SAMUEL YAMAMOTOCredential: D.C.
Location Address2517 N GREAT WESTERN DR, #LPrescott Valley, AZ 86314-2597
Mailing Address2517 N Great Western Dr, #lPrescott Valley, AZ 86314-2597 · (928) 778-1190 · Fax (928) 759-8107
Fax(928) 759-8107
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 2001
Enumeration DateJanuary 5, 2007
Last NPPES UpdateOctober 14, 2014
✔ NPI 1265589691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 7203
Definition
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.
2517 N GREAT WESTERN DR, Prescott Valley, AZ 86314

Other Identifiers 1

Medicare PINAZ00318AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Yamamoto D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355319559
PECOS Enrollment IDI20040923001174

Medicare Billing Reassignment

Medicare enrollment records show Samuel Yamamoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
2517 N GREAT WESTERN DR #L
Prescott Valley, AZ 86314
  • Reassigned Medicare billing, Arizona enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
1,339 services135 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
2517 N GREAT WESTERN DR, SUITE I
PRESCOTT VALLEY, AZ 86314
Marriage & Family Therapist
2517 N GREAT WESTERN DR, UNIT L
PRESCOTT VALLEY, AZ 86314
Social Worker (Clinical)
2517 N GREAT WESTERN DR
PRESCOTT VALLEY, AZ 86314
Marriage & Family Therapist
2517 N GREAT WESTERN DR, UNIT L
PRESCOTT VALLEY, AZ 86314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Yamamoto's NPI number?

The NPI number for Samuel Yamamoto is 1265589691. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Samuel Yamamoto located?

Samuel Yamamoto practices at 2517 N Great Western Dr #l, Prescott Valley, AZ 86314. The listed phone number is (928) 778-1190.

What is Samuel Yamamoto's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Samuel Yamamoto enrolled in Medicare?

Yes. Samuel Yamamoto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Yamamoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Yamamoto reassigns Medicare benefits to Yamamoto Chiropractic, LLC (Prescott Valley, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Yamamoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Yamamoto was last updated on October 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.