NPIMap

Individual provider Active NPI

James Andrew Symonds, D.C.

  • Chiropractor
  • Decatur, IL
National Provider Identifier
1346422128
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008185 Issued in IL
Practice address
3350 N Water St
Suite a
Decatur, IL 62526-2353
Phone
(217) 877-2404
Fax
(217) 877-2522
NPI assigned
Dec 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008185 IL Primary

Addresses

Primary practice location

3350 N Water St
Suite a
Decatur, IL 62526-2353

Mailing address

3350 N Water St
A
Decatur, IL 62526-2353
Phone (217) 877-2404

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

State licenses

LicenseStateTypeSpecialty
038-008185ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vercellino Purchasing Co Chiropractor PastSince Mar 16, 2019 Accepting new patients
Mario Fucinari DC LLC Chiropractor PastSince Oct 5, 2011 Accepting new patients

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1346422128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 N WATER ST",
            "address_2": "A",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262353",
            "telephone_number": "217-877-2404",
            "fax_number": "217-877-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 N WATER ST",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262353",
            "telephone_number": "217-877-2404",
            "fax_number": "217-877-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMONDS",
        "first_name": "JAMES",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.