Active NPI
Brandy Simmons, D.C
- Pediatric Chiropractor
- Dallas, TX
National Provider Identifier
1659041309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- 14887
- Practice address
- 18484 Preston Rd Ste 202
Dallas, TX 75252-5475 - Phone
- (469) 534-9745
- NPI assigned
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | 14887 | TX | Primary |
| Chiropractor | 111N00000X | 14887 | TX |
Addresses
Primary practice location
18484 Preston Rd Ste 202
Dallas, TX 75252-5475
Mailing address
1350 N Greenville Ave Apt 4413
Richardson, TX 75081-2980
Phone (469) 534-9745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14887 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1659041309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 N GREENVILLE AVE APT 4413",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750812980",
"telephone_number": "469-534-9745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18484 PRESTON RD STE 202",
"city": "DALLAS",
"state": "TX",
"postal_code": "752525475",
"telephone_number": "469-534-9745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "BRANDY",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "TX",
"license": "14887",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "14887",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.