Organization Active NPI

Theodore Simon DC PA

Doing business as Simon Clinic of Chiropractic

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1275688087
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3233 Issued in FL
Legal business name
THEODORE SIMON DC PA
Doing business as
Simon Clinic of Chiropractic
Practice address
2423 Bee Ridge Rd
Sarasota, FL 34239-6304
Phone
(941) 921-6656
Fax
(941) 925-7561
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Theodore Simon, DC
Title
Owner
Phone
(941) 921-6656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH3233 FL Primary

Addresses

Primary practice location

2423 Bee Ridge Rd
Sarasota, FL 34239-6304

Mailing address

2423 Bee Ridge Rd
Sarasota, FL 34239-6304
Phone (941) 921-6656

Other names 1

  • SIMON CLINIC OF CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

Locations

1003 E Oak St
Arcadia, FL 34266
Phone (863) 993-0100

2423 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 921-6656

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275688087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396304",
            "telephone_number": "941-921-6656",
            "fax_number": "941-925-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396304",
            "telephone_number": "941-921-6656",
            "fax_number": "941-925-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE SIMON DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-921-6656",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMON CLINIC OF CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.