Organization Active NPI

Simmons Chiropractic PC

  • Chiropractor
  • Detroit, MI
National Provider Identifier
1750683959
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009622 Issued in MI
Legal business name
SIMMONS CHIROPRACTIC PC
Doing business as
McLeod Chiropractic
Practice address
20355 Kelly Rd
Detroit, MI 48225-1206
Phone
(313) 839-9100
Fax
(313) 527-9671
NPI assigned
Nov 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Ms. Kim Jurkiewicz
Title
Office Manager
Phone
(313) 839-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009622 MI Primary

Addresses

Primary practice location

20355 Kelly Rd
Detroit, MI 48225-1206

Mailing address

20355 Kelly Rd
Detroit, MI 48225-1206
Phone (313) 839-9100

Other names 1

  • McLeod Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

20355 Kelly Rd
Detroit, MI 48225
Phone (313) 839-9100

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1750683959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20355 KELLY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482251206",
            "telephone_number": "313-839-9100",
            "fax_number": "313-527-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20355 KELLY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482251206",
            "telephone_number": "313-839-9100",
            "fax_number": "313-527-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMONS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "JURKIEWICZ",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-839-9100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLeod Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.