Organization Active NPI

Simpson Family Wellness: Chiropractic, PLLC

  • Health Service Clinic/Center
  • Syracuse, NY
National Provider Identifier
1568906378
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
X012099-1 Issued in NY
Legal business name
SIMPSON FAMILY WELLNESS: CHIROPRACTIC, PLLC
Practice address
170 Intrepid LN Ste 1
Syracuse, NY 13205-2545
Phone
(315) 857-5557
Fax
(315) 320-9235
NPI assigned
Dec 13, 2016
Last updated
Aug 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Anna-Marie Simpson, DC, MSNPI 1033439088
Title
Owner, Chiropractor & Nutritionist
Phone
(315) 857-5557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X X012099-1 NY Primary

Addresses

Primary practice location

170 Intrepid LN Ste 1
Syracuse, NY 13205-2545

Mailing address

170 Intrepid LN Ste 1
Syracuse, NY 13205-2545
Phone (315) 857-5557

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170411001525 NY Part B Supplier - Clinic/Group Practice 9830475680 Receives reassigned benefits from 1 practitioner
Practice locations: Syracuse, NY

National Provider Directory

National Provider Directory

Locations

309 Kasson Rd
#1
Camillus, NY 13031
Phone (315) 857-5557

170 Intrepid Ln
#1
Syracuse, NY 13205
Phone (315) 857-5557

4922 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 857-5557

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1568906378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 INTREPID LN STE 1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052545",
            "telephone_number": "315-857-5557",
            "fax_number": "315-320-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 INTREPID LN STE 1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052545",
            "telephone_number": "315-857-5557",
            "fax_number": "315-320-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPSON FAMILY WELLNESS: CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "ANNA-MARIE",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR & NUTRITIONIST",
        "authorized_official_telephone_number": "315-857-5557",
        "authorized_official_credential": "DC, MS"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "X012099-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.