DR. SAM WEAVER DC
NPI 1710504477
Chiropractor in Lees Summit, MO

Q: What is Sam Weaver's NPI number?

The NPI number for Sam Weaver is 1710504477. It was assigned to this individual provider in the NPPES registry on June 29, 2020. The provider is also known as Dr. Summer Weaver Dc.

Q: What is Sam Weaver'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 Sam Weaver was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 June 29, 2020Accepts Medicare Assignment

338 SW MAIN ST, LEES SUMMIT, MO 64063(816) 600-5483(816) 524-5328 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 8, 2025, Feb 3, 2023, Mar 31, 2021 and 1 more (4 updates tracked since 2020).

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About Dr. Sam Weaver Dc NPPES

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

DR. SAM WEAVER DC (NPI 1710504477) is an individual chiropractor in Lees Summit, Missouri, licensed in Missouri (2020013203) and active in the NPI registry since June 2020. She is a graduate of Cleveland Chiropractic College - Kansas City (2020).

NPPES Registry Identity

NPI1710504477

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. SAM WEAVERCredential: DC

Location Address338 SW MAIN STLees Summit, MO 64063-2340

Mailing Address8345 Renner Blvd Apt 3416Lenexa, KS 66219-3068 · (816) 808-2539

Phone(816) 600-5483

Fax(816) 524-5328

Sole ProprietorNo

Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2020

Enumeration DateJune 29, 2020

Last NPPES UpdateMay 8, 20254 updates tracked since enumeration

NPPES CertifiedMay 8, 2025

✔ NPI 1710504477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in MO · 2020013203✔ Licensed in KS · 01-06112

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.

338 SW MAIN ST, Lees Summit, MO 64063

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Other Names 1

Former Name (1)Dr. Summer Weaver Dc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Providence Health Plan and more.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

Dr. Sam Weaver 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 ID9931515137

PECOS Enrollment IDI20230310001845

Medicare Billing Reassignment

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

Advanced Sports And Family Chiropractic, LLC

16 mi

Chiropractor

12643 METCALF AVE
Overland Park, KS 66213

Reassigned Medicare billing, Missouri enrollment
17 clinicians in this Medicare group

NPI 1376710293 (913) 643-1771

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.

118 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.

DR. ANGELA SEGOVIA D.C.

Chiropractor

338 SW MAIN ST
LEES SUMMIT, MO 64063

Jackson County (816) 600-5483

DAVID DEMETRIUS WILSON DC, MS

Chiropractor

338 SW MAIN ST
LEES SUMMIT, MO 64063

Jackson County (816) 600-5483

DR. BRENNAN JAY ROBINSON DC

Chiropractor

338 SW MAIN ST
LEES SUMMIT, MO 64063

Jackson County (816) 600-5483

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 Sam Weaver's NPI number?

The NPI number for Sam Weaver is 1710504477. It was assigned to this individual provider in the NPPES registry on June 29, 2020. The provider is also known as Dr. Summer Weaver Dc.

Where is Sam Weaver located?

Sam Weaver practices at 338 SW Main St, Lees Summit, MO 64063. The listed phone number is (816) 600-5483.

What is Sam Weaver's specialty?

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

Is Sam Weaver enrolled in Medicare?

Yes. Sam Weaver 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 Sam Weaver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Weaver reassigns Medicare benefits to Advanced Sports And Family Chiropractic, LLC (Overland Park, KS). 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 Sam Weaver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sam Weaver accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Providence Health Plan and UnitedHealthcare list Sam Weaver 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 Sam Weaver was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.