Organization Active NPI

Meridian Chiropractic

  • Chiropractor
  • Walton, KY
National Provider Identifier
1841669397
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MERIDIAN CHIROPRACTIC
Practice address
11091 Clay Dr
Walton, KY 41094-7473
Phone
(859) 918-6868
Fax
(859) 317-5781
NPI assigned
Sep 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Erik Michael Simms, D.C.NPI 1962521377
Title
Owner/Operator
Phone
(859) 307-8779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

11091 Clay Dr
Walton, KY 41094-7473

Mailing address

11091 Clay Dr
Walton, KY 41094-7473
Phone (859) 918-6868

Other names 1

  • Triple Crown Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150924000046 KY Part B Supplier - Clinic/Group Practice 5193032175 Receives reassigned benefits from 1 practitioner
Practice locations: Walton, KY

National Provider Directory

National Provider Directory
Tax ID family
Meridian Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11091 Clay Dr
Walton, KY 41094
Phone (859) 918-6868

11053 Clay Dr
Walton, KY 41094
Phone (859) 918-6868

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1841669397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11091 CLAY DR",
            "city": "WALTON",
            "state": "KY",
            "postal_code": "410947473",
            "telephone_number": "859-918-6868",
            "fax_number": "859-317-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11091 CLAY DR",
            "city": "WALTON",
            "state": "KY",
            "postal_code": "410947473",
            "telephone_number": "859-918-6868",
            "fax_number": "859-317-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "SIMMS",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "859-307-8779",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triple Crown Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.