Active NPI
Theodore Simon, DC
- Chiropractor
- Arcadia, FL
National Provider Identifier
1265427447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH3233
- Practice address
- 1110 E Gibson St
Arcadia, FL 34266-5011 - Phone
- (863) 993-0100
- Fax
- (863) 993-2116
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- No
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 | CH3233 | FL | Primary |
Addresses
Primary practice location
1110 E Gibson St
Arcadia, FL 34266-5011
Mailing address
PO Box 997
Palmetto, FL 34220-0997
Phone (941) 776-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380640500 | Medicaid | FL | |
| 40213 | Other | FL | BC/BS OF FLORIDA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wholistic Health Clinic, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Exclusive Provider Organization
- Sarasota, FL
- NPI 1376834549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1265427447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 997",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342200997",
"telephone_number": "941-776-4000",
"fax_number": "941-845-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 E GIBSON ST",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342665011",
"telephone_number": "863-993-0100",
"fax_number": "863-993-2116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "THEODORE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH3233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380640500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF FLORIDA",
"identifier": "40213",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.