Simpson Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SIMPSON CHIROPRACTIC PLLC

Practice address

58 S Maple St
Blackfoot, ID 83221-2128

Phone

(208) 812-4044

Fax

(208) 218-9484

NPI assigned

Dec 5, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Preston Simpson, DCNPI 1649771296

Title

Owner

Phone

(208) 812-4044

Specialties & licenses 1

Addresses

Other names 1

• Simpson Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

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

• Preston Oliver Simpson, DC

  • Chiropractor
  • Blackfoot, ID
  • NPI 1649771296
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1124895776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 W 40 S",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832216129",
            "telephone_number": "208-534-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 S MAPLE ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212128",
            "telephone_number": "208-812-4044",
            "fax_number": "208-218-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPSON CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-812-4044",
        "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": [
        {
            "organization_name": "Simpson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Simpson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casandra Dayley Serr, LSW
• Dean Woodrow Shandy, D.O.
• Vicki Shapiro, MD
• David Shelley, MD
• Shaunna Shortes, FNP C
• Simpson Dental Offices
• Charles Gordon Simpson, DDS
• Preston Oliver Simpson, DC
• Troy Gordon Simpson, DDS
• Smiles 4 Kids Blackfoot PLLC

• Chiropractor in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.