Organization Active NPI

Simmons Family Chiropractic & Wellness Center, PLLC

  • Chiropractor
  • Charleston, WV
National Provider Identifier
1356626451
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SIMMONS FAMILY CHIROPRACTIC & WELLNESS CENTER, PLLC
Practice address
5411 Maccorkle Ave SE
Charleston, WV 25304-2223
Phone
(304) 925-5003
Fax
(304) 925-5004
NPI assigned
Oct 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Dr. Darby SimmonsNPI 1346472404
Title
Owner/Clinic Director
Phone
(304) 925-5003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5411 Maccorkle Ave SE
Charleston, WV 25304-2223

Mailing address

5411 Maccorkle Ave SE
Charleston, WV 25304-2223
Phone (304) 925-5003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111101000392 WV Part B Supplier - Clinic/Group Practice 5799958039 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, WV

National Provider Directory

National Provider Directory

Locations

4715 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 925-5003

5411 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 925-5003

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": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1356626451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042223",
            "telephone_number": "304-925-5003",
            "fax_number": "304-925-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042223",
            "telephone_number": "304-925-5003",
            "fax_number": "304-925-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMONS FAMILY CHIROPRACTIC & WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "DARBY",
        "authorized_official_title_or_position": "OWNER/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "304-925-5003",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.