Organization Active NPI

Simpson Family Chiropractic Inc.

Doing business as Eastern Carolina Chiropractic Center

  • Chiropractor
  • Wilson, NC
National Provider Identifier
1033418900
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3184 Issued in NC
Legal business name
SIMPSON FAMILY CHIROPRACTIC INC.
Doing business as
Eastern Carolina Chiropractic Center
Practice address
1704 Medical Park Dr W
Wilson, NC 27893-2705
Phone
(252) 991-4290
NPI assigned
Mar 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Dr. Latanya Cachelle SimpsonNPI 1538144605
Title
Owner
Phone
(252) 991-4290

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3184 NC Primary

Addresses

Primary practice location

1704 Medical Park Dr W
Wilson, NC 27893-2705

Mailing address

1704 Medical Park Dr W
Wilson, NC 27893-2705
Phone (252) 991-4290

Other identifiers 2

IdentifierTypeStateIssuer
89085NUMedicaidNC
U97026OtherHCFA UPIN

Other names 1

  • Eastern Carolina Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110914000330 NC Part B Supplier - Clinic/Group Practice 8022289578 Receives reassigned benefits from 1 practitioner
Practice locations: Wilson, NC

National Provider Directory

National Provider Directory

Locations

1704 Medical Park Dr W
Wilson, NC 27893
Phone (252) 243-7274

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1033418900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 MEDICAL PARK DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932705",
            "telephone_number": "252-991-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 MEDICAL PARK DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932705",
            "telephone_number": "252-991-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPSON FAMILY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "LATANYA",
        "authorized_official_middle_name": "CACHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-991-4290",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085NU",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCFA UPIN",
            "identifier": "U97026",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Carolina Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.