Individual provider Active NPI

Jon H. Simpson, D.C.

  • Sports Physician Chiropractor
  • Sylvania, OH
National Provider Identifier
1386743193
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1831 Issued in OH
Practice address
5660 Monroe St
Suite #8
Sylvania, OH 43560-2733
Phone
(419) 474-0629
Fax
(419) 517-2046
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1831 OH Primary

Addresses

Primary practice location

5660 Monroe St
Suite #8
Sylvania, OH 43560-2733

Mailing address

5660 Monroe St
Suite #8
Sylvania, OH 43560-2733
Phone (419) 474-0629

Other identifiers 1

IdentifierTypeStateIssuer
0887607MedicaidOH

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1386743193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5660 MONROE ST",
            "address_2": "SUITE #8",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602733",
            "telephone_number": "419-474-0629",
            "fax_number": "419-517-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 MONROE ST",
            "address_2": "SUITE #8",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602733",
            "telephone_number": "419-474-0629",
            "fax_number": "419-517-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JON",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "1831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0887607",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.