Active NPI
Michael Simmer, DC
- Chiropractor
- Greenville, SC
National Provider Identifier
1467551481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3188
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 561793160 | Other | SC | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1901 | NC | MD | Clinical Psychologist |
| 26315 | CA | MD | Clinical Social Worker |
| 06775 | IA | MD | Dentist |
| 3188 | SC | MD | Speech-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.
-
- Chiropractor
- Greenville, SC
- NPI 1710032461
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.