Organization Active NPI

Simon Chiropractic Center PLLC

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1396072864
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7674 Issued in AZ
Legal business name
SIMON CHIROPRACTIC CENTER PLLC
Practice address
2500 S Power Rd
Ste 106
Mesa, AZ 85209-6686
Phone
(480) 962-6011
Fax
(480) 924-4709
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Dr. Andrew C. Simon, DC
Title
Owner
Phone
(480) 272-0258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7674 AZ Primary

Addresses

Primary practice location

2500 S Power Rd
Ste 106
Mesa, AZ 85209-6686

Mailing address

2500 S Power Rd
Ste 106
Mesa, AZ 85209-6686
Phone (480) 962-6011

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1396072864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S POWER RD",
            "address_2": "STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096686",
            "telephone_number": "480-962-6011",
            "fax_number": "480-924-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S POWER RD",
            "address_2": "STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096686",
            "telephone_number": "480-962-6011",
            "fax_number": "480-924-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-272-0258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.