Individual provider Active NPI

Nick Peter Simionides, D.C.,C.C.S.P.

  • Sports Physician Chiropractor
  • Alliance, OH
National Provider Identifier
1922043298
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1170 Issued in OH
Practice address
2301 W State St
Alliance, OH 44601-3530
Phone
(330) 821-1777
Fax
(330) 821-4243
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1170 OH Primary

Addresses

Primary practice location

2301 W State St
Alliance, OH 44601-3530

Mailing address

2301 W State St
Alliance, OH 44601-3530
Phone (330) 821-1777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110319000083 OH Practitioner - Chiropractic 0941483572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2301 W State St
Alliance, OH 44601-3530
Phone (330) 821-1777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1170OHMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carnation Chiropractic Ctr. Inc Sports Physician CurrentSince Oct 1, 1984 Accepting new patients

Locations

2301 W State St
Alliance, OH 44601
Phone (330) 821-1777

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1922043298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446013530",
            "telephone_number": "330-821-1777",
            "fax_number": "330-821-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446013530",
            "telephone_number": "330-821-1777",
            "fax_number": "330-821-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMIONIDES",
        "first_name": "NICK",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "D.C.,C.C.S.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "1170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.