Active NPI
Simone N. Flesik, D.C.
- Chiropractor
- Windber, PA
National Provider Identifier
1366816936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010888
- Practice address
- 1308 Graham Ave
Windber, PA 15963-1708 - Phone
- (814) 915-2084
- NPI assigned
- Nov 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | DC010888 | PA | Primary |
Addresses
Primary practice location
1308 Graham Ave
Windber, PA 15963-1708
Mailing address
1308 Graham Ave
Windber, PA 15963-1708
Phone (814) 915-2084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240118000669 | PA | Practitioner - Chiropractic | 8123381258 | Practice locations: Windber, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1366816936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 GRAHAM AVE",
"city": "WINDBER",
"state": "PA",
"postal_code": "159631708",
"telephone_number": "814-915-2084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 GRAHAM AVE",
"city": "WINDBER",
"state": "PA",
"postal_code": "159631708",
"telephone_number": "814-915-2084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLESIK",
"first_name": "SIMONE",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-19",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windber, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.