Active NPI
Austin Nicholas Simmons I, DC
- Chiropractor
- Granger, IN
National Provider Identifier
1760649727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002355A
- Practice address
- 51099 Bittersweet Rd
Ste H
Granger, IN 46530-4990 - Phone
- (574) 271-4628
- Fax
- (574) 271-8247
- NPI assigned
- May 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 08002355A | IN | Primary |
Addresses
Primary practice location
51099 Bittersweet Rd
Ste H
Granger, IN 46530-4990
Mailing address
51099 Bittersweet Rd
Ste H
Granger, IN 46530-4990
Phone (574) 271-4628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120124000374 | IN | Practitioner - Chiropractic | 9234306770 | Practice locations: Nappanee, IN; Granger, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
51099 Bittersweet Rd
Suite H
Granger, IN 46530-4990
Phone (574) 271-4628
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simmons Chiropractic Clinic, LLC | Chiropractor | Past | Accepting new patients |
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
- Granger, IN
- NPI 1336067867
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1760649727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51099 BITTERSWEET RD",
"address_2": "STE H",
"city": "GRANGER",
"state": "IN",
"postal_code": "465304990",
"telephone_number": "574-271-4628",
"fax_number": "574-271-8247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51099 BITTERSWEET RD",
"address_2": "STE H",
"city": "GRANGER",
"state": "IN",
"postal_code": "465304990",
"telephone_number": "574-271-4628",
"fax_number": "574-271-8247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "AUSTIN",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002355A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granger, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.