Organization Active NPI

Shaughn Sims DC Incorporated

  • Chiropractor
  • Ballinger, TX
National Provider Identifier
1376875245
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8180 Issued in TX
Legal business name
SHAUGHN SIMS DC INCORPORATED
Practice address
406 Hutchings Ave
Ballinger, TX 76821-5818
Phone
(325) 365-8888
Fax
(325) 365-2331
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Dr. Shaughn Sims, D.C.NPI 1447239033
Title
Owner/President
Phone
(325) 365-8888

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 8180 TX Primary

Addresses

Primary practice location

406 Hutchings Ave
Ballinger, TX 76821-5818

Mailing address

406 Hutchings Ave
Ballinger, TX 76821-5818
Phone (325) 365-8888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100701000709 TX Part B Supplier - Clinic/Group Practice 8527199785 Receives reassigned benefits from 1 practitioner
Practice locations: Ballinger, TX

National Provider Directory

National Provider Directory

Locations

406 Hutchings Ave
Ballinger, TX 76821
Phone (325) 365-8888

Practitioners & affiliated clinicians

Practitioners 2

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": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1376875245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 HUTCHINGS AVE",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768215818",
            "telephone_number": "325-365-8888",
            "fax_number": "325-365-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 HUTCHINGS AVE",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768215818",
            "telephone_number": "325-365-8888",
            "fax_number": "325-365-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUGHN SIMS DC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "SHAUGHN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "325-365-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballinger, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.