Active NPI
Simnioniw Family Chiropractic, PLLC
- Chiropractor
- Dickinson, ND
National Provider Identifier
1811299811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 835
- Legal business name
- SIMNIONIW FAMILY CHIROPRACTIC, PLLC
- Practice address
- 352 1St St E
Suite D
Dickinson, ND 58601-5268 - Phone
- (701) 483-1802
- Fax
- (701) 483-1803
- NPI assigned
- Nov 23, 2010
- Last updated
- Nov 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kylie Brook Simnioniw, D.C.
- Title
- Owner
- Phone
- (701) 483-1802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 835 | ND | Primary |
Addresses
Primary practice location
352 1St St E
Suite D
Dickinson, ND 58601-5268
Mailing address
352 1St St E
Suite D
Dickinson, ND 58601-5268
Phone (701) 483-1802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10327 | Medicaid | ND |
National Provider Directory
National Provider DirectoryLocations
352 1st St E
Ste D
Dickinson, ND 58601
Phone (701) 483-1802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290470400000",
"number": "1811299811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 1ST ST E",
"address_2": "SUITE D",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586015268",
"telephone_number": "701-483-1802",
"fax_number": "701-483-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 1ST ST E",
"address_2": "SUITE D",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586015268",
"telephone_number": "701-483-1802",
"fax_number": "701-483-1803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMNIONIW FAMILY CHIROPRACTIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-23",
"last_updated": "2010-11-23",
"status": "A",
"authorized_official_last_name": "SIMNIONIW",
"authorized_official_first_name": "KYLIE",
"authorized_official_middle_name": "BROOK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "701-483-1802",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10327",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.