Individual provider Active NPI

Vincent M Simokovich, DC

  • Chiropractor
  • Strongsville, OH
National Provider Identifier
1861581910
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1763 Issued in OH
Practice address
12481 Pearl Rd
Strongsville, OH 44136-3414
Phone
(440) 668-3747
Fax
(440) 878-8702
NPI assigned
Oct 12, 2006
Last updated
Apr 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1763 OH Primary

Addresses

Primary practice location

12481 Pearl Rd
Strongsville, OH 44136-3414

Mailing address

12481 Pearl Rd
Strongsville, OH 44136-3414
Phone (440) 668-3747

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

State licenses

LicenseStateTypeSpecialty
1763OHMDPhysical Therapy Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1861581910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12481 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363414",
            "telephone_number": "440-668-3747",
            "fax_number": "440-878-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12481 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363414",
            "telephone_number": "440-668-3747",
            "fax_number": "440-878-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMOKOVICH",
        "first_name": "VINCENT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.