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DR. SAMUEL KENNETH BOOTHE DC
NPI 1689601569
Chiropractor in Marion, VA

Active since June 27, 2006
340 N MAIN ST, STE 108, MARION, VA 24354(276) 783-7005(276) 783-8080 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Samuel Kenneth Boothe Dc NPPES

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

DR. SAMUEL KENNETH BOOTHE DC (NPI 1689601569) is an individual chiropractor in Marion, Virginia, licensed in Virginia (0104555931) and active in the NPI registry since June 2006. He is a graduate of Life Chiropractic College (2001).

NPPES Registry Identity

NPI1689601569
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SAMUEL KENNETH BOOTHECredential: DC
Location Address340 N MAIN ST, STE 108Marion, VA 24354
Mailing Address340 N Main St, Suite 108Marion, VA 24354-3360 · (276) 783-7005 · Fax (276) 783-8080
Phone(276) 783-7005
Fax(276) 783-8080
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2001
Enumeration DateJune 27, 2006
Last NPPES UpdateDecember 16, 2016
✔ NPI 1689601569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104555931
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.
340 N MAIN ST, Marion, VA 24354
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Other Identifiers 3

Medicare UPINU85918
Other434850Anthem
Medicare PIN350001188VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Kenneth Boothe Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476630997
PECOS Enrollment IDI20120124000386

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.
2,724 services144 patients

Other Providers at the Same Location NPPES

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

BOOTHE CHIRPRACTIC CENTER, LLC
Chiropractor
340 N MAIN ST, SUITE 108
MARION, VA 24354
Smyth County (276) 783-7005

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 Boothe's NPI number?

The NPI number for Samuel Boothe is 1689601569. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Samuel Boothe located?

Samuel Boothe practices at 340 N Main St Ste 108, Marion, VA 24354. The listed phone number is (276) 783-7005.

What is Samuel Boothe's specialty?

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

Is Samuel Boothe enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samuel Boothe was last updated on December 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.