Active NPI
Simmons Chiropractic Clinic
- Chiropractor
- Tacoma, WA
National Provider Identifier
1902109739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00000751
- Legal business name
- SIMMONS CHIROPRACTIC CLINIC
- Practice address
- 1720 S 72ND St Ste 102
Tacoma, WA 98408-1297 - Phone
- (253) 472-4424
- Fax
- (253) 471-9806
- NPI assigned
- Dec 16, 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. Dean Simmons, D.C.
- Title
- Chiropractor
- Phone
- (253) 472-4424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00000751 | WA | Primary |
Addresses
Primary practice location
1720 S 72ND St Ste 102
Tacoma, WA 98408-1297
Mailing address
1720 S 72ND St Ste 102
Tacoma, WA 98408-1297
Phone (253) 472-4424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962574517 | Other | WA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1720 S 72nd St
Ste 102
Tacoma, WA 98408
Phone (253) 472-4424
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Tacoma, WA
- NPI 1174738249
-
- Chiropractor
- Tacoma, WA
- NPI 1710198064
-
- Contractor
- Tacoma, WA
- NPI 1356543581
-
- Chiropractor
- Tacoma, WA
- NPI 1619604584
-
- Chiropractor
- Tacoma, WA
- NPI 1073653374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292457600000",
"number": "1902109739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 S 72ND ST STE 102",
"city": "TACOMA",
"state": "WA",
"postal_code": "984081297",
"telephone_number": "253-472-4424",
"fax_number": "253-471-9806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 S 72ND ST STE 102",
"city": "TACOMA",
"state": "WA",
"postal_code": "984081297",
"telephone_number": "253-472-4424",
"fax_number": "253-471-9806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMMONS CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-16",
"last_updated": "2010-12-16",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "DEAN",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "253-472-4424",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00000751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1962574517",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.