SAMUEL CHARLES FANGMAN DC
NPI 1396212551
Chiropractor in Grimes, IA

Active since October 25, 2018Accepts Medicare Assignment
200 SE GATEWAY DR STE 103, GRIMES, IA 50111(515) 201-3498 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 29, 2018, Oct 25, 2018 (2 updates tracked since 2018).

About Samuel Charles Fangman Dc NPPES

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

SAMUEL CHARLES FANGMAN DC (NPI 1396212551) is an individual chiropractor in Grimes, Iowa, licensed in Iowa (093158) and active in the NPI registry since October 2018. He maintains a secondary practice location in Grimes and is a graduate of Palmer College Chiropractic - Davenport (2018).

NPPES Registry Identity

NPI1396212551
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameSAMUEL CHARLES FANGMANCredential: DC
Location Address200 SE GATEWAY DR STE 103Grimes, IA 50111-2182
Mailing Address501 Nw 11th StGrimes, IA 50111-8869 · (515) 201-3498
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2018
Enumeration DateOctober 25, 2018
Last NPPES UpdateOctober 29, 20182 updates tracked since enumeration
✔ NPI 1396212551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IA · 093158
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.
200 SE GATEWAY DR STE 103, Grimes, IA 50111

Secondary Practice Location 1

Location 1501 NW 11th StGrimes, IA 50111-8869 · Phone (515) 201-3498

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Charles Fangman Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719221662
PECOS Enrollment IDI20181203002939

Medicare Billing Reassignment

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

Chiropractor
200 SE GATEWAY DR STE 103
Grimes, IA 50111
  • Reassigned Medicare billing, Iowa enrollment
  • Medicare enrollment name: Fangman Family Chiropractic PC

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, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
113 services17 patients

Other Providers at the Same Location NPPES 3

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

Chiropractor
200 SE GATEWAY DR STE 103
GRIMES, IA 50111
Chiropractor
200 SE GATEWAY DR STE 103
GRIMES, IA 50111
Chiropractor
200 SE GATEWAY DR STE 103
GRIMES, IA 50111

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 Fangman's NPI number?

The NPI number for Samuel Fangman is 1396212551. It was assigned to this individual provider in the NPPES registry on October 25, 2018.

Where is Samuel Fangman located?

Samuel Fangman practices at 200 SE Gateway Dr Ste 103, Grimes, IA 50111. The listed phone number is (515) 201-3498.

What is Samuel Fangman's specialty?

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

Is Samuel Fangman enrolled in Medicare?

Yes. Samuel Fangman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Samuel Fangman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Fangman reassigns Medicare benefits to Fangman Family Chiropractic, P.C. (Grimes, IA). 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 Fangman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Fangman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and HealthPartners and 1 other insurer list Samuel Fangman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Fangman was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.