Organization Active NPI

Simpson Chiropractic Pain and Wellness Center PA

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1073793121
Registry record updated May 29, 2008
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
Practice address
104 SE Lonita St
Stuart, FL 34994-3447
Phone
(772) 463-2344
Fax
(772) 463-9565
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Mr. Charles Aaron 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: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8266 FL Primary

Addresses

Primary practice location

104 SE Lonita St
Stuart, FL 34994-3447

Mailing address

104 SE Lonita St
Stuart, FL 34994-3447
Phone (772) 463-2344

Other identifiers 1

IdentifierTypeStateIssuer
70662OtherFLMEDICARE PROVIDER #

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
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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2115060Simpson Chiropractic Pain and Wellness Ctr PA104 SE Lonita St, Stuart, FL 34994Certificate of waiverJun 26, 2028

National Provider Directory

National Provider Directory

Locations

319 N Parrott Ave
Okeechobee, FL 34972

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1073793121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SE LONITA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943447",
            "telephone_number": "772-463-2344",
            "fax_number": "772-463-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SE LONITA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943447",
            "telephone_number": "772-463-2344",
            "fax_number": "772-463-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPSON CHIROPRACTIC PAIN AND WELLNESS CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "772-463-2344",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "70662",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.