Active NPI
Tyler William Simpson, DC
- Chiropractor
- Castle Rock, CO
National Provider Identifier
1851957237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34440
- Practice address
- 862 W Happy Canyon Rd Ste 100
Castle Rock, CO 80108-3910 - Phone
- (720) 612-4386
- NPI assigned
- May 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34440 | CA | Primary |
| Chiropractor | 111N00000X | CHR0008703 | CO |
Addresses
Primary practice location
862 W Happy Canyon Rd Ste 100
Castle Rock, CO 80108-3910
Mailing address
862 W Happy Canyon Rd Ste 100
Castle Rock, CO 80108-3910
Phone (720) 612-4386
Other practice location 1
2900 Bristol St Ste C105
Costa Mesa, CA 92626-5944
Phone (760) 505-6166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, CO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200120000953 | CA | Practitioner - Chiropractic | 6800221920 | |
| I20240701003026 | CO | Practitioner - Chiropractic | 6800221920 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR0008703 | CO | MD | Chiropractor |
| 34440 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simpson Chiropractic Oc PC | Chiropractor | Current | Accepting new patients |
Locations
2900 Bristol St
Ste C105
Costa Mesa, CA 92626
Phone (714) 557-9454
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.
-
- Chiropractor
- Costa Mesa, CA
- NPI 1841838497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1851957237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "862 W HAPPY CANYON RD STE 100",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801083910",
"telephone_number": "720-612-4386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "862 W HAPPY CANYON RD STE 100",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801083910",
"telephone_number": "720-612-4386"
}
],
"practiceLocations": [
{
"address_1": "2900 Bristol St Ste C105",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926265944",
"country_code": "US",
"telephone_number": "760-505-6166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMPSON",
"first_name": "TYLER",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-11",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34440",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR0008703",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.