Individual provider Active NPI

Scott A Sims, D.C.

  • Chiropractor
  • Nacogdoches, TX
National Provider Identifier
1932389095
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7336 Issued in TX
Practice address
3801 North St
Ste 18
Nacogdoches, TX 75965-2473
Phone
(936) 560-2405
Fax
(936) 564-3401
NPI assigned
Nov 6, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7336 TX Primary

Addresses

Primary practice location

3801 North St
Ste 18
Nacogdoches, TX 75965-2473

Mailing address

3801 North St
Ste 18
Nacogdoches, TX 75965-2473
Phone (936) 560-2405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100504000447 TX Practitioner - ChiropracticPractitioner - Neurology 0042348559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Neurology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4635 NE Stallings Dr
Suite 106
Nacogdoches, TX 75965-1667
Phone (936) 560-2405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7336TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scott a Sims PA Chiropractor CurrentSince Oct 1, 2002 Accepting new patients

Locations

3801 North St
Ste 18
Nacogdoches, TX 75965
Phone (409) 560-2405

4635 NE Stallings Dr
Ste 106
Nacogdoches, TX 75965
Phone (409) 560-0818

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": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1932389095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 NORTH ST",
            "address_2": "STE 18",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652473",
            "telephone_number": "936-560-2405",
            "fax_number": "936-564-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 NORTH ST",
            "address_2": "STE 18",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652473",
            "telephone_number": "936-560-2405",
            "fax_number": "936-564-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.