DR. SAMANTHA DETORE DC
NPI 1720878168
Chiropractor in Batesburg Leesville, SC
About Dr. Samantha Detore Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMANTHA DETORE DC (NPI 1720878168) is an individual chiropractor in Batesburg Leesville, South Carolina, licensed in South Carolina (5173) and active in the NPI registry since May 2025. She is a graduate of Sherman College Of Straight Chiropractic (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Samantha Detore Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Detore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Batesburg Leesville, SC 29070
- Reassigned Medicare billing, South Carolina enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
LEESVILLE, SC 29070
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 Detore's NPI number?
The NPI number for Samantha Detore is 1720878168. It was assigned to this individual provider in the NPPES registry on May 8, 2025.
Where is Samantha Detore located?
Samantha Detore practices at 323 Village Square Dr, Batesburg Leesville, SC 29070. The listed phone number is (803) 307-0000.
What is Samantha Detore's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Samantha Detore enrolled in Medicare?
Yes. Samantha Detore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Detore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Detore reassigns Medicare benefits to Southern Roots Chiropractic (Batesburg Leesville, SC). 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 Samantha Detore'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 Samantha Detore 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.
# Dr. Samantha Detore, DC · NPI 1720878168
Chiropractor provider in Batesburg Leesville, South Carolina. Individual provider, active in the CMS NPPES registry since May 8, 2025.
## Identity
- **NPI:** 1720878168 (Entity type: Individual)
- **Enumerated:** May 8, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 5173 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 323 VILLAGE SQUARE DR, Batesburg Leesville, SC 29070-7055
- **Phone:** (803) 307-0000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Southern Roots Chiropractic (NPI 1487447181, Batesburg Leesville, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Sherman College Of Straight Chiropractic, class of 2025
## Record status
- **NPPES last updated:** May 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720878168) · Data from the CMS NPPES public registry.