Individual provider Active NPI

Simone M Simaan, D.C.

  • Chiropractor
  • Warsaw, NC
National Provider Identifier
1174513022
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3030 Issued in NC
Practice address
603 E College St
Warsaw, NC 28398-2104
Phone
(336) 632-0123
Fax
(336) 632-1194
NPI assigned
Oct 24, 2005
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3030 NC Primary

Addresses

Primary practice location

603 E College St
Warsaw, NC 28398-2104

Mailing address

603 E College St
Warsaw, NC 28398-2104
Phone (910) 787-3668

Other practice location 1

2601 N Herritage St
Kinston, NC 28501-1502
Phone (252) 523-1900

Other identifiers 6

IdentifierTypeStateIssuer
020570857OtherNCTRICARE
085HCOtherNCBCBSNC
020570857OtherNCCNC
020570857OtherNCACN
89083HCMedicaidNC
C1606OtherNCMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3030NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Simone M. Simaan D.C. P.a. PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1174513022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E COLLEGE ST",
            "city": "WARSAW",
            "state": "NC",
            "postal_code": "283982104",
            "telephone_number": "910-787-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E COLLEGE ST",
            "city": "WARSAW",
            "state": "NC",
            "postal_code": "283982104",
            "telephone_number": "336-632-0123",
            "fax_number": "336-632-1194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 N Herritage St",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285011502",
            "country_code": "US",
            "telephone_number": "252-523-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMAAN",
        "first_name": "SIMONE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "020570857",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "085HC",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNC",
            "identifier": "020570857",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "020570857",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89083HC",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "C1606",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.