Simonsen Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

082634 Issued in IA

Legal business name

SIMONSEN CHIROPRACTIC, PC

Practice address

200 5TH Ave NW
Le Mars, IA 51031-3116

Phone

(712) 546-8152

Fax

(712) 546-7653

NPI assigned

Jun 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kristina Simonsen, D.C.NPI 1447591904

Title

Owner/Chiropractor

Phone

(712) 229-1863

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristina Michele Simonsen, DC

  • Chiropractor
  • Le Mars, IA
  • NPI 1447591904
  Medicare reassignment NPD Authorized official
• Scott A Zollman

  • Chiropractor
  • Le Mars, IA
  • NPI 1336134659
  NPD (past)

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1205285111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 5TH AVE NW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313116",
            "telephone_number": "712-546-8152",
            "fax_number": "712-546-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 5TH AVE NW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313116",
            "telephone_number": "712-546-8152",
            "fax_number": "712-546-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONSEN CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "SIMONSEN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "712-229-1863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "082634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118285",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul E Schroeder, OD
• Shanice Marie Schroeder
• Casey Lee Schulte, TLMHC
• Jill Schultes Pudenz, RN
• Shining Light Speech Therapy, PLLC
• Kristina Michele Simonsen, DC
• Siouxland Sleep Solutions
• Elizabeth Smith, LMSW
• Abby Jo Stainbrook
• Stelzer Surgery, PC

• Chiropractor in Le Mars, IA
• Providers in Le Mars, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.