Active NPI
Simon M Billingham, D.C.
- Sports Physician Chiropractor
- Scottsdale, AZ
National Provider Identifier
1699863696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 6058
- Practice address
- 9316 E Raintree Dr Ste 140
Scottsdale, AZ 85260-3005 - Phone
- (480) 614-2322
- Fax
- (480) 614-2522
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 6058 | AZ | Primary |
Addresses
Primary practice location
9316 E Raintree Dr Ste 140
Scottsdale, AZ 85260-3005
Mailing address
9316 E Raintree Dr Ste 140
Scottsdale, AZ 85260-3005
Phone (480) 614-2322
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0939460 | Other | AZ | BLUE CROSS NONPAR PROVIDE |
| 200318014 | Other | AZ | FRDERAL TAX ID |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699863696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9316 E RAINTREE DR STE 140",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603005",
"telephone_number": "480-614-2322",
"fax_number": "480-614-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9316 E RAINTREE DR STE 140",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603005",
"telephone_number": "480-614-2322",
"fax_number": "480-614-2522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLINGHAM",
"first_name": "SIMON",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "AZ",
"license": "6058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NONPAR PROVIDE",
"identifier": "AZ0939460",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FRDERAL TAX ID",
"identifier": "200318014",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.