Active NPI
Jacob Randopf Sims, D.C.
- Chiropractor
- Gunnison, CO
National Provider Identifier
1720229941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6202
- Practice address
- 724 N Main St
Gunnison, CO 81230-2412 - Phone
- (970) 641-2818
- NPI assigned
- Mar 18, 2009
- Last updated
- Aug 6, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6202 | CO | Primary |
| Pediatric Chiropractor | 111NP0017X | 6202 | CO |
Addresses
Primary practice location
724 N Main St
Gunnison, CO 81230-2412
Mailing address
724 N Main St
Gunnison, CO 81230-2412
Phone (970) 641-2818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1541 Oxbow Dr
Unit 1550
Montrose, CO 81401-4780
Phone (970) 240-2126
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Chiropractic Health Center LLC | Chiropractor | Current | Accepting new patients |
| Sims Chiropractic Clinic Ministering Health | Chiropractor | Past | Accepting new patients |
Locations
1541 Oxbow Dr
Unit 1550
Montrose, CO 81401
Phone (970) 240-2126
Organizations & group practices 3
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.
-
dba New Life Chiropractic
- Chiropractor
- Montrose, CO
- NPI 1003267055
-
- Chiropractor
- Gunnison, CO
- NPI 1073847638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312588800000",
"number": "1720229941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 N MAIN ST",
"city": "GUNNISON",
"state": "CO",
"postal_code": "812302412",
"telephone_number": "970-641-2818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 N MAIN ST",
"city": "GUNNISON",
"state": "CO",
"postal_code": "812302412",
"telephone_number": "970-641-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "JACOB",
"middle_name": "RANDOPF",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-18",
"last_updated": "2011-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6202",
"primary": true
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "CO",
"license": "6202",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gunnison, CO
- Jennifer Sherburne, MSN, APRN
- Kandu Sherpa
- Sherry Lynn Niccoli MD PC (Dr. Niccoli, Sherry L Niccoli MD, Dr. Sherry, Sherry L Niccoli MD PC FACOG)
- Willa Rose Shields, APN, FMHNP-BC
- Sims Chiropractic Clinic Ministering Health
- Laura Ellen Sims, D.C.
- Six Points Evaluation and Training,Inc.
- Timoni Slusher, LAC DACM
- Cynthia Cooper Smock, MA, LPC, CAC III
- Kurt M. Smudzinski, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2011; 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.