Organization Active NPI

Dr Tracy Rae Simon Chiropractic Inc

  • Chiropractor
  • Vacaville, CA
National Provider Identifier
1043341498
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27700 Issued in CA
Legal business name
DR TRACY RAE SIMON CHIROPRACTIC INC
Practice address
530 W Monte Vista Ave
Vacaville, CA 95688-3620
Phone
(707) 448-9661
Fax
(707) 448-9663
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Tracy Rae Skinner Simon
Title
Owner President
Phone
(707) 448-9661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC27700 CA Primary

Addresses

Primary practice location

530 W Monte Vista Ave
Vacaville, CA 95688-3620

Mailing address

530 W Monte Vista Ave
Vacaville, CA 95688-3620
Phone (707) 448-9661

National Provider Directory

National Provider Directory

Locations

530 W Monte Vista Ave
Vacaville, CA 95688
Phone (707) 446-9661

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1043341498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W MONTE VISTA AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883620",
            "telephone_number": "707-448-9661",
            "fax_number": "707-448-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W MONTE VISTA AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883620",
            "telephone_number": "707-448-9661",
            "fax_number": "707-448-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TRACY RAE SIMON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SKINNER SIMON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "707-448-9661"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.