Active NPI
Simon Chiropractic Studio LLC
- Chiropractor
- Bradenton, FL
National Provider Identifier
1649908047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- SIMON CHIROPRACTIC STUDIO LLC
- Practice address
- 5715 Cortez Rd W
Bradenton, FL 34210-2702 - Phone
- (941) 345-4205
- NPI assigned
- Aug 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stacy Lynne Simon, DC
- Title
- Chiropractor
- Phone
- (941) 345-4205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
5715 Cortez Rd W
Bradenton, FL 34210-2702
Mailing address
6504 Clemson St
Bradenton, FL 34207-5622
Phone (941) 526-5383
National Provider Directory
National Provider DirectoryLocations
5715 Cortez Rd W
Bradenton, FL 34210
Phone (941) 345-4205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660262400000",
"number": "1649908047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6504 CLEMSON ST",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342075622",
"telephone_number": "941-526-5383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5715 CORTEZ RD W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342102702",
"telephone_number": "941-345-4205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMON CHIROPRACTIC STUDIO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-12",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A",
"authorized_official_last_name": "SIMON",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "941-345-4205",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.