Individual provider Active NPI

Charles Aaron Simpson, DC

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1164502282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8266 Issued in FL
Practice address
104 SE Lonita St
Stuart, FL 34994-3447
Phone
(772) 463-2344
Fax
(772) 463-9565
NPI assigned
Oct 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 8266 FL Primary

Addresses

Primary practice location

104 SE Lonita St
Stuart, FL 34994-3447

Mailing address

508 SW California Ave Ste a
Stuart, FL 34994-2930
Phone (772) 219-9105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080605000375 FL Practitioner - Chiropractic 6608946488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 8266FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Simpson Chiropractic Pain and Wellness Center PA Chiropractor CurrentSince Mar 25, 2008 Accepting new patients
Simpson Chiropractic Pain and Wellness Center PA Chiropractor CurrentSince Mar 25, 2008 Accepting new patients
Orchid Medi-Center LLC PastSince Jan 1, 2019 Accepting new patients
Simpson Chiropractic Pain and Wellness Center PA Chiropractor Past Accepting new patients

Locations

319 N Parrott Ave
Okeechobee, FL 34972

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

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164502282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 SW CALIFORNIA AVE STE A",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942930",
            "telephone_number": "772-219-9105"
        },
        {
            "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": {
        "last_name": "SIMPSON",
        "first_name": "CHARLES",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8266",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.