Organization Active NPI

Siminski Chiropractic Clinic, P.C.

  • Chiropractor
  • Owosso, MI
National Provider Identifier
1245387984
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
RS002729 Issued in MI
Legal business name
SIMINSKI CHIROPRACTIC CLINIC, P.C.
Practice address
210 W Main St
Owosso, MI 48867-2914
Phone
(989) 723-2039
Fax
(989) 725-7723
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Roger Allen Siminski, D.C.
Title
Owner
Phone
(989) 723-2039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X RS002729 MI Primary

Addresses

Primary practice location

210 W Main St
Owosso, MI 48867-2914

Mailing address

210 W Main Street
Owosso, MI 48867
Phone (989) 723-2039

Other identifiers 1

IdentifierTypeStateIssuer
4429081MedicaidMI

National Provider Directory

National Provider Directory

Locations

210 W Main St
Owosso, MI 48867
Phone (616) 723-2039

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1245387984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W MAIN STREET",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "48867",
            "telephone_number": "989-723-2039",
            "fax_number": "989-725-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672914",
            "telephone_number": "989-723-2039",
            "fax_number": "989-725-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMINSKI CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "SIMINSKI",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-723-2039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "RS002729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4429081",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.