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DR. JEREMIAH FREDERICK SAMPLE D.C., B.S.
NPI 1619344256
Chiropractor in Wichita, KS

Active since August 31, 2015
2548 S DALTON ST, WICHITA, KS 67210(316) 214-0720 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jeremiah Frederick Sample D.c., B.s. NPPES

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

DR. JEREMIAH FREDERICK SAMPLE D.C., B.S. (NPI 1619344256) is an individual chiropractor in Wichita, Kansas, licensed in Nebraska (1856) and active in the NPI registry since August 2015. He is a graduate of Palmer College Chiropractic - Davenport (2014).

NPPES Registry Identity

NPI1619344256
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JEREMIAH FREDERICK SAMPLECredential: D.C., B.S.
Location Address2548 S DALTON STWichita, KS 67210-1909
Mailing Address2548 S Dalton StWichita, KS 67210-1909 · (316) 214-0720
Phone(316) 214-0720
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2014
Enumeration DateAugust 31, 2015
✔ NPI 1619344256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NE · 1856
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.
2548 S DALTON ST, Wichita, KS 67210
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Other Identifiers 1

Other1856Nebraska Chiropractic License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremiah Frederick Sample D.c., B.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517252455
PECOS Enrollment IDI20160817001054

Medicare Billing Reassignment

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

Family First Chiropractic L.L.C
253 mi
Chiropractor
18025 OAK ST. SUITE A
Omaha, NE 68130
  • Reassigned Medicare billing, Nebraska enrollment
  • 3 clinicians in this Medicare group
NPI 1497975775 (402) 884-4100

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.
174 services17 patients

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 Jeremiah Sample's NPI number?

The NPI number for Jeremiah Sample is 1619344256. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Where is Jeremiah Sample located?

Jeremiah Sample practices at 2548 S Dalton St, Wichita, KS 67210. The listed phone number is (316) 214-0720.

What is Jeremiah Sample's specialty?

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

Is Jeremiah Sample enrolled in Medicare?

Yes. Jeremiah Sample is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeremiah Sample's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremiah Sample reassigns Medicare benefits to Family First Chiropractic L.L.C (Omaha, NE). 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 Jeremiah Sample'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 Jeremiah Sample was last updated on August 31, 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.