Active NPI
Simone M Simaan, D.C.
- Chiropractor
- Warsaw, NC
National Provider Identifier
1174513022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3030
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020570857 | Other | NC | TRICARE |
| 085HC | Other | NC | BCBSNC |
| 020570857 | Other | NC | CNC |
| 020570857 | Other | NC | ACN |
| 89083HC | Medicaid | NC | |
| C1606 | Other | NC | MEDCOST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3030 | NC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simone M. Simaan D.C. P.a. | Past | 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.
-
- Chiropractor
- Warsaw, NC
- NPI 1780243568
-
dba DBA Maplewood Chiropractic & Alternative Medicine
- Preferred Provider Organization
- Greensboro, NC
- NPI 1699963520
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
- Rai Care Centers of North Carolina II, LLC (RAI-West College-Warsaw)
- Rass LLC (dba Residential & Supportive Services)
- RBM Opco of Warsaw LLC (Warsaw Nursing & Rehab Center)
- Shades Transport
- Lamar F Shannon, MBA/HCM
- Sixty & Above Transportation LLC
- Skill Creations Inc
- Smarter Companion Care
- Sharvon Smith, LABOR DELIVERY DOULA
- Sovran Senior Living LLC (Warsaw Health and Rehabilitation Center)
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.