Organization Active NPI

Simpson Chiropractic Pain and Wellness Center PA

Doing business as Urgent Care Chiropractic Pain Center

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1033356381
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8266 Issued in FL
Legal business name
SIMPSON CHIROPRACTIC PAIN AND WELLNESS CENTER PA
Doing business as
Urgent Care Chiropractic Pain Center
Practice address
464 SW Port St Lucie Blvd
Suite 114
Port St Lucie, FL 34953-2077
Phone
(772) 343-8511
Fax
(772) 343-8585
NPI assigned
Jan 8, 2009
Last updated
Jan 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles A Simpson, DCNPI 1164502282
Title
Chiropractor/President
Phone
(772) 463-2344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH8266 FL Primary

Addresses

Primary practice location

464 SW Port St Lucie Blvd
Suite 114
Port St Lucie, FL 34953-2077

Mailing address

464 SW Port St Lucie Blvd
Suite 114
Port St Lucie, FL 34953-2077
Phone (772) 343-8511

Other names 1

  • URGENT CARE CHIROPRACTIC PAIN CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080115000789 FL Part B Supplier - Clinic/Group Practice 1759462708 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Port St Lucie, FL; Stuart, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

464 SW Port St Lucie Blvd
Port St Lucie, FL 34953
Phone (772) 343-8511

464 SW Port St Lucie Blvd
Ste 114
Port St Lucie, FL 34953
Phone (772) 343-8511

7664 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 446-9047

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1033356381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 SW PORT ST LUCIE BLVD",
            "address_2": "SUITE 114",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532077",
            "telephone_number": "772-343-8511",
            "fax_number": "772-343-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 SW PORT ST LUCIE BLVD",
            "address_2": "SUITE 114",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532077",
            "telephone_number": "772-343-8511",
            "fax_number": "772-343-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPSON CHIROPRACTIC PAIN AND WELLNESS CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "772-463-2344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "URGENT CARE CHIROPRACTIC PAIN CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.