Organization Active NPI

Simmons Chiropractic, Inc.

  • Orthopedic Chiropractor
  • San Diego, CA
National Provider Identifier
1063424067
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
28430 Issued in CA
Legal business name
SIMMONS CHIROPRACTIC, INC.
Doing business as
Miramar Chiropractic & Health Center
Practice address
9484 Black Mountain Rd
Suite I
San Diego, CA 92126-4520
Phone
(858) 566-2446
Fax
(858) 566-2448
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Lee Simmons, D.C.NPI 1184636102
Title
Owner
Phone
(858) 566-2446

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
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 28430 CA Primary

Addresses

Primary practice location

9484 Black Mountain Rd
Suite I
San Diego, CA 92126-4520

Mailing address

9484 Black Mountain Rd
Suite I
San Diego, CA 92126-4520
Phone (858) 566-2446

Other names 1

  • Miramar Chiropractic & Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

9484 Black Mountain Rd
Ste I
San Diego, CA 92126
Phone (858) 484-8548

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063424067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9484 BLACK MOUNTAIN RD",
            "address_2": "SUITE I",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264520",
            "telephone_number": "858-566-2446",
            "fax_number": "858-566-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9484 BLACK MOUNTAIN RD",
            "address_2": "SUITE I",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264520",
            "telephone_number": "858-566-2446",
            "fax_number": "858-566-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMONS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-566-2446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "28430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miramar Chiropractic & Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.