Omni Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OMNI CHIROPRACTIC INC

Practice address

4760 Galleria Pkwy Ste 108
Sparks, NV 89436-9613

Phone

(775) 339-9499

Fax

(775) 339-9511

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Simeon Siahmakoun, DC

Title

Owner

Phone

(775) 339-9499

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1174000400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 GALLERIA PKWY STE 108",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894369613",
            "telephone_number": "775-339-9499",
            "fax_number": "775-339-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 GALLERIA PKWY STE 108",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894369613",
            "telephone_number": "775-339-9499",
            "fax_number": "775-339-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "SIAHMAKOUN",
        "authorized_official_first_name": "SIMEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-339-9499",
        "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": []
}

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• Chiropractor in Sparks, NV
• Providers in Sparks, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.