Organization Active NPI

Simnioniw Family Chiropractic, PLLC

  • Chiropractor
  • Dickinson, ND
National Provider Identifier
1811299811
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
835 Issued in ND
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10327MedicaidND

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.