100 Chiropractic Staples Sims PLLC

Key facts

NPI

1124858600

Entity type

Organization (NPI type 2)

Primary specialty

Chiropractor 111N00000X

Legal business name

100 CHIROPRACTIC STAPLES SIMS PLLC

Practice address

126 Enclave Dr Ste 102
Seven Fields, PA 16046-7900

Phone

(708) 712-4973

NPI assigned

Aug 7, 2024

Organization subpart

No

Authorized official

Name

Dr. Nico Staples, DC NPI 1649650615

Title

Owner/Manager

Phone

(708) 712-4973

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

Practitioners 3

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

• Nico Anthony Staples, D.C. Chiropractor · Marietta, GA · NPI 1649650615
  NPD (past) Authorized official CHIROPRACTOR
• Joseph Coleman, DC Chiropractor · Seven Fields, PA · NPI 1518678978
  NPD CHIROPRACTOR
• Joshua Michael Gagric, DC Chiropractor · Conway, PA · NPI 1700626777
  NPD CHIROPRACTOR

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2024.

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1124858600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 ENCLAVE DR STE 102",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 ENCLAVE DR STE 102",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467900",
            "telephone_number": "708-712-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIROPRACTIC STAPLES SIMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "STAPLES",
        "authorized_official_first_name": "NICO",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "708-712-4973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Fields, PA

• 100 Chiro Coleman PLLC
• 500 Seven Fields Boulevard Ops, LLC
• Jessica Lynn Abraham, LPC
• Amanda Jean Adams, MD
• Advance Voice & Speech Therapy
• Advanced Pain and Rehab Specialists LLC

All providers in Seven Fields, PA · Chiropractor in Pennsylvania