Active NPI
Ian Keith Simpson, D.C.
- Chiropractor
- Worcester, MA
National Provider Identifier
1710003892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2682
- Practice address
- 210 Highland St
Worcester, MA 01609-2204 - Phone
- (508) 755-5016
- Fax
- (508) 753-2514
- NPI assigned
- Mar 21, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2682 | MA | Primary |
Addresses
Primary practice location
210 Highland St
Worcester, MA 01609-2204
Mailing address
210 Highland St
Worcester, MA 01609-2204
Phone (508) 755-5016
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56178 | Other | MA | FALLON COMMUNITY HEALTH P |
| 351460 | Other | MA | HARVARD PILGRIM |
| 1697340 | Medicaid | MA | |
| 6772997 | Other | MA | CIGNA |
| Y36868 | Other | MA | BCBS MASSACHUSETTS |
| 1106995 | Other | MA | AETNA HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
210 Highland St
Worcester, MA 01609-2204
Phone (508) 755-5016
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2682 | MA | MD | Clinical Psychologist |
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.
-
- Chiropractor
- Worcester, MA
- NPI 1861518938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1710003892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 HIGHLAND ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092204",
"telephone_number": "508-755-5016",
"fax_number": "508-753-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 HIGHLAND ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092204",
"telephone_number": "508-755-5016",
"fax_number": "508-753-2514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "IAN",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH P",
"identifier": "56178",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "351460",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1697340",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6772997",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MASSACHUSETTS",
"identifier": "Y36868",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH CARE",
"identifier": "1106995",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.