DR. SAMANTHA R PEDERSON DC
NPI 1437277126
Chiropractor in Roseville, MN

Q: What is Samantha Pederson's NPI number?

The NPI number for Samantha Pederson is 1437277126. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Q: What is Samantha Pederson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Pederson was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 27, 2007

2233 HAMLNE AVE N, SUITE 101, ROSEVILLE, MN 55113(651) 312-7679(651) 636-0247 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Samantha R Pederson Dc NPPES

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

DR. SAMANTHA R PEDERSON DC (NPI 1437277126) is an individual chiropractor in Roseville, Minnesota, licensed in Minnesota (4194) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1437277126

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. SAMANTHA R PEDERSONCredential: DC

Location Address2233 HAMLNE AVE N, SUITE 101Roseville, MN 55113

Mailing Address2233 Hamline Ave N, Suite 101Roseville, MN 55113 · (651) 312-7679 · Fax (651) 636-0247

Phone(651) 312-7679

Fax(651) 636-0247

Sole ProprietorYes

Enumeration DateMarch 27, 2007

Last NPPES UpdateMay 4, 2015

✔ NPI 1437277126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MN · 4194

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.

2233 HAMLNE AVE N, Roseville, MN 55113

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Other Identifiers 1

Medicare PIN350003908MN

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 Samantha Pederson's NPI number?

The NPI number for Samantha Pederson is 1437277126. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Samantha Pederson located?

Samantha Pederson practices at 2233 Hamlne Ave N Suite 101, Roseville, MN 55113. The listed phone number is (651) 312-7679.

What is Samantha Pederson's specialty?

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

When was this NPI record last updated?

The NPPES record for Samantha Pederson was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.