Organization Active NPI

Simon Chiropractic Studio LLC

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1649908047
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Aug 12, 2022

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.