Individual provider Active NPI

Douglas Lee Sims Jr., D.C.

  • Chiropractor
  • Riverdale Park, MD
National Provider Identifier
1245301720
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S02036 Issued in MD
Practice address
5600 Rivertech CT Ste G
Riverdale Park, MD 20737-1354
Phone
(301) 853-7467
Fax
(301) 853-7040
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S02036 MD Primary

Addresses

Primary practice location

5600 Rivertech CT Ste G
Riverdale Park, MD 20737-1354

Mailing address

5600 Rivertech CT Ste G
Riverdale Park, MD 20737-1354
Phone (301) 853-7467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120823000232 DC Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 9436117116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Life Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5600 Rivertech CT
Suite G
Riverdale, MD 20737-1354
Phone (301) 853-7467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sims Integrative Medical Solutions CurrentSince Jan 22, 2025 Accepting new patients
Sims Chiropractic Center, LLC CurrentSince May 22, 2012 Accepting new patients

Locations

3321 Toledo Ter
Ste 303
Hyattsville, MD 20782
Phone (301) 853-7467

5600 Rivertech Ct
Ste G
Riverdale Park, MD 20737
Phone (240) 206-7004

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1245301720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 RIVERTECH CT STE G",
            "city": "RIVERDALE PARK",
            "state": "MD",
            "postal_code": "207371354",
            "telephone_number": "301-853-7467",
            "fax_number": "301-853-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 RIVERTECH CT STE G",
            "city": "RIVERDALE PARK",
            "state": "MD",
            "postal_code": "207371354",
            "telephone_number": "301-853-7467",
            "fax_number": "301-853-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "DOUGLAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S02036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale Park, MD

Sources for this page

Verify at the official NPI Registry.