Individual provider Active NPI

Michael Simmer, DC

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1467551481
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3188 Issued in SC
Practice address
1607 Woodruff Rd
Suite 2
Greenville, SC 29607-6910
Phone
(864) 458-8888
Fax
(864) 458-8848
NPI assigned
Sep 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3188 SC Primary

Addresses

Primary practice location

1607 Woodruff Rd
Suite 2
Greenville, SC 29607-6910

Mailing address

1607 Woodruff Rd
Suite 2
Greenville, SC 29607-6910
Phone (864) 458-8888

Other identifiers 1

IdentifierTypeStateIssuer
561793160OtherSCTAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730012154 NC Practitioner - Chiropractic 0648179861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7505 Hwy 73
Suite a
Denver, NC 28037-9225
Phone (208) 407-7654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1901NCMDClinical Psychologist
26315CAMDClinical Social Worker
06775IAMDDentist
3188SCMDSpeech-Language Pathologist

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467551481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 WOODRUFF RD",
            "address_2": "SUITE 2",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076910",
            "telephone_number": "864-458-8888",
            "fax_number": "864-458-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 WOODRUFF RD",
            "address_2": "SUITE 2",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076910",
            "telephone_number": "864-458-8888",
            "fax_number": "864-458-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "561793160",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.