Organization Active NPI

Simpson Family Clinic

  • Chiropractor
  • Ada, OK
National Provider Identifier
1588858948
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3482 Issued in OK
Legal business name
SIMPSON FAMILY CLINIC
Practice address
217 N Mississippi Ave
Ada, OK 74820-5236
Phone
(580) 332-2332
Fax
(580) 332-5593
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Dr. Robert Sidney Simpson, D.C.NPI 1174600951
Title
President
Phone
(580) 332-2332

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3482 OK Primary

Addresses

Primary practice location

217 N Mississippi Ave
Ada, OK 74820-5236

Mailing address

217 N Mississippi Ave
Ada, OK 74820-5236
Phone (580) 332-2332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040429000794 OK Part B Supplier - Clinic/Group Practice 6709873870 Receives reassigned benefits from 1 practitioner
Practice locations: Ada, OK

National Provider Directory

National Provider Directory

Locations

217 N Mississippi Ave
Ada, OK 74820
Phone (580) 332-2332

Practitioners & affiliated clinicians

Practitioners 1

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": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1588858948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N MISSISSIPPI AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205236",
            "telephone_number": "580-332-2332",
            "fax_number": "580-332-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N MISSISSIPPI AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205236",
            "telephone_number": "580-332-2332",
            "fax_number": "580-332-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPSON FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SIDNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-332-2332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.