NPIMap

Organization Active NPI

Mitchell D Simon PC

  • Chiropractor
  • Brighton, MA
National Provider Identifier
1457697476
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
774 Issued in MA
Legal business name
MITCHELL D SIMON PC
Practice address
697 Cambridge St
Suite 303
Brighton, MA 02135-2897
Phone
(617) 206-3250
Fax
(617) 206-3252
NPI assigned
Dec 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Dr. Mitchell D Simon
Title
Chiropractor
Phone
(617) 206-3250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 774 MA Primary

Addresses

Primary practice location

697 Cambridge St
Suite 303
Brighton, MA 02135-2897

Mailing address

697 Cambridge St
Ste 303
Brighton, MA 02135-2897
Phone (617) 206-3250

National Provider Directory

National Provider Directory

Locations

697 Cambridge St
Ste 303
Brighton, MA 02135
Phone (617) 206-3250

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": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1457697476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 CAMBRIDGE ST",
            "address_2": "STE 303",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352897",
            "telephone_number": "617-206-3250",
            "fax_number": "617-206-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 CAMBRIDGE ST",
            "address_2": "SUITE 303",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352897",
            "telephone_number": "617-206-3250",
            "fax_number": "617-206-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL D SIMON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "617-206-3250",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.