Kevin T Simons DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3109 Issued in WI

Legal business name

KEVIN T SIMONS DC LLC

Practice address

2510 Washington St
Manitowoc, WI 54220-4858

Phone

(920) 686-7330

Fax

(920) 686-7510

NPI assigned

Jun 12, 2008

Last updated

Jul 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin T Simons, DC

Title

Owner

Phone

(920) 686-7330

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1285894329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 WASHINGTON ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204858",
            "telephone_number": "920-686-7330",
            "fax_number": "920-686-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WASHINGTON ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204858",
            "telephone_number": "920-686-7330",
            "fax_number": "920-686-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN T SIMONS DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-686-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38888600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00146537",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca E Keesling, OTR
• Jill S. Keil, MPT
• Thomas A Keller, MD
• Michael Patrick Kennedy, MD
• Abbie Ruth Kershner, D.D.S
• Tanu Khurana
• Kaitlin Kieffer, ATC
• Maria Kilari, M.D
• Kindred Inc
• Kindred Inc

• Chiropractor in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.