Individual provider Active NPI

Jake Stuart Simpson, D.C.

  • Chiropractor
  • Seneca, SC
National Provider Identifier
1669702734
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4598 Issued in SC
Practice address
10873 Clemson Blvd Unit 113
Seneca, SC 29678-1397
Phone
(864) 654-2770
Fax
(864) 635-7790
NPI assigned
Jan 12, 2010
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6470 CO
Chiropractor 111N00000X 4598 SC Primary

Addresses

Primary practice location

10873 Clemson Blvd Unit 113
Seneca, SC 29678-1397

Mailing address

10873 Clemson Blvd Unit 113
Seneca, SC 29678-1397
Phone (864) 654-2770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210528000324 SC Practitioner - Chiropractic 9032374137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspire Health Chiropractic LLCGroup PAC ID 7810387404, 2 clinicians

Practice addresses (Care Compare)

735 N Townville St
Seneca, SC 29678-2644
Phone (864) 654-2770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6470COMDChiropractor
4598SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Health Chiropractic LLC Chiropractor CurrentSince Jan 3, 2024 Accepting new patients
Dabolina Corp Chiropractor PastSince Apr 16, 2012 Accepting new patients

Locations

10873 Clemson Blvd
Unit 113
Seneca, SC 29678
Phone (864) 654-2770

735 N Townville St
Seneca, SC 29678
Phone (864) 557-1453

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1669702734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10873 CLEMSON BLVD UNIT 113",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781397",
            "telephone_number": "864-654-2770",
            "fax_number": "864-635-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10873 CLEMSON BLVD UNIT 113",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781397",
            "telephone_number": "864-654-2770",
            "fax_number": "864-635-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JAKE",
        "middle_name": "STUART",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-12",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6470",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.