Individual provider Active NPI

Austin Nicholas Simmons I, DC

  • Chiropractor
  • Granger, IN
National Provider Identifier
1760649727
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002355A Issued in IN
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

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.