Individual provider Active NPI

Michael P Simmons, D.C.

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1801828462
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11034 Issued in CA
Practice address
3800 Watt Avenue
Suite 120
Sacramento, CA 95821-2622
Phone
(916) 484-0321
Fax
(916) 481-6830
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11034 CA Primary

Addresses

Primary practice location

3800 Watt Avenue
Suite 120
Sacramento, CA 95821-2622

Mailing address

3800 Watt Avenue
Suite 120
Sacramento, CA 95821-2622
Phone (916) 484-0321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1801828462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 WATT AVENUE",
            "address_2": "SUITE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212622",
            "telephone_number": "916-484-0321",
            "fax_number": "916-481-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 WATT AVENUE",
            "address_2": "SUITE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212622",
            "telephone_number": "916-484-0321",
            "fax_number": "916-481-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "11034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.