Simeon Siahmakoun, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B01676 Issued in NV

Practice address

4760 Galleria Pkwy Ste 108
Sparks, NV 89436-9613

Phone

(775) 339-9499

Fax

(775) 339-9511

NPI assigned

Jul 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1912484247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 GALLERIA PKWY STE 108",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894369613",
            "telephone_number": "775-339-9499",
            "fax_number": "775-339-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 GALLERIA PKWY STE 108",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894369613",
            "telephone_number": "775-339-9499",
            "fax_number": "775-339-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAHMAKOUN",
        "first_name": "SIMEON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Sparks, NV
• Providers in Sparks, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.