Jake Simmons, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-1199 Issued in HI

Practice address

66-590 Kamehameha Hwy Ste 1B
Haleiwa, HI 96712-1484

Phone

(808) 291-2542

Fax

(808) 491-0999

NPI assigned

Jun 1, 2010

Last updated

May 22, 2023By the provider in NPPES

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

Enrolled in HI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Shore Family Chiropractic LLC

  • Chiropractor
  • Haleiwa, HI
  • NPI 1659006286
  Medicare reassignment NPD Authorized official
• Haleiwa Chiropractic Clinic, Inc.

  • Sports Physician Chiropractor
  • Haleiwa, HI
  • NPI 1215348230
  NPD (past)

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1922328988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66-590 KAMEHAMEHA HWY STE 1B",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121484",
            "telephone_number": "808-291-2542",
            "fax_number": "808-491-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-590 KAMEHAMEHA HWY STE 1B",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121484",
            "telephone_number": "808-291-2542",
            "fax_number": "808-491-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JAKE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-1199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Schmit, L.AC.
• Andrew Charles Schwartz, DDS
• Kiai Segawa
• Timothy Shanley
• Shoreline Physical Therapy
• Lindsay Simmons, MSW, CD(DONA)
• Reina Smathers, RDN
• Scott Smith, PT
• Cab Spates, MT
• Sharon Spencer, LSW

• Chiropractor in Haleiwa, HI
• Providers in Haleiwa, HI by specialty
• Chiropractor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.