Active NPI
Sheila Dabalos Simmons, D.C.
- Chiropractor
- Othello, WA
National Provider Identifier
1659401289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00003650
- Practice address
- 361 E Main St
Othello, WA 99344-1055 - Phone
- (509) 488-3346
- Fax
- (509) 488-3347
- NPI assigned
- Mar 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00003650 | WA | Primary |
Addresses
Primary practice location
361 E Main St
Othello, WA 99344-1055
Mailing address
455 S 18TH Ave
Othello, WA 99344-1580
Phone (509) 488-1558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154599454 | Other | WA | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
361 E Main St
Othello, WA 99344-1055
Phone (509) 488-3346
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simmons Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
Locations
361 E Main St
Othello, WA 99344
Phone (509) 488-3345
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1659401289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S 18TH AVE",
"city": "OTHELLO",
"state": "WA",
"postal_code": "993441580",
"telephone_number": "509-488-1558",
"fax_number": "509-488-3347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 E MAIN ST",
"city": "OTHELLO",
"state": "WA",
"postal_code": "993441055",
"telephone_number": "509-488-3346",
"fax_number": "509-488-3347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "SHEILA",
"middle_name": "DABALOS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1154599454",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Othello, WA
- Jordan William Sheffer, PHARMD
- Arden Bryan Sherrill, BSPHARM
- Simmons Chiropractic, P.C. (Simmons Family Chiropractic)
- Alexis Francene Simmons, DC
- Robert M. Simmons, D.C.
- Monique A Small, MD
- Jane Elizabeth Smith, M.A.
- Marsi Lynette Smith, RN
- Alexander David Snyder, DMD
- Social Treatment Opportunity Programs II, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.