Individual provider Active NPI

Shaughn Thomas Sims, D.C.

  • Chiropractor
  • Ballinger, TX
National Provider Identifier
1447239033
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC8180 Issued in TX
Practice address
406 Hutchings Ave
Ballinger, TX 76821-5818
Phone
(325) 365-8888
Fax
(325) 365-2331
NPI assigned
Jan 11, 2006
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC8180 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
I20090325000623 TX Practitioner - Chiropractic 0749235844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

406 Hutchings Ave
Ballinger, TX 76821-3622
Phone (325) 365-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC8180TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shaughn Sims DC Incorporated Chiropractor CurrentSince Mar 29, 2010 Accepting new patients
Shaughn T. SMS D.C., P. C. Chiropractor PastSince Nov 1, 1999 Accepting new patients

Locations

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1447239033",
    "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": {
        "last_name": "SIMS",
        "first_name": "SHAUGHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC8180",
            "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 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.