Active NPI
Matthew James Simonson, D. C.
- Chiropractor
- Zachary, LA
National Provider Identifier
1639265184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1211
- Practice address
- 5626 Main Street
Zachary, LA 70791 - Phone
- (225) 658-0500
- Fax
- (225) 658-9414
- NPI assigned
- Oct 4, 2006
- 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 | 1211 | LA | Primary |
Addresses
Primary practice location
5626 Main Street
Zachary, LA 70791
Mailing address
5626 Main Street
Zachary, LA 70791
Phone (225) 658-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5626 Main St
Zachary, LA 70791-4023
Phone (225) 658-0500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Zachary, LA
- NPI 1578751889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1639265184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5626 MAIN STREET",
"city": "ZACHARY",
"state": "LA",
"postal_code": "70791",
"telephone_number": "225-658-0500",
"fax_number": "225-658-9414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5626 MAIN STREET",
"city": "ZACHARY",
"state": "LA",
"postal_code": "70791",
"telephone_number": "225-658-0500",
"fax_number": "225-658-9414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONSON",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"credential": "D. C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zachary, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.