Individual provider Active NPI

Shaun Jarlerh Simmer X, DC

  • Chiropractor
  • Denver, NC
National Provider Identifier
1932791712
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4555 Issued in NC
Practice address
7505 Highway 73 Ste a
Denver, NC 28037-9225
Phone
(704) 951-8238
Fax
(704) 951-8137
NPI assigned
Feb 3, 2021
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4555 NC Primary

Addresses

Primary practice location

7505 Highway 73 Ste a
Denver, NC 28037-9225

Mailing address

7505 Highway 73 Ste a
Denver, NC 28037-9225
Phone (704) 951-8238

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL spinechiropractic@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4555NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1932791712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 HIGHWAY 73 STE A",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280379225",
            "telephone_number": "704-951-8238",
            "fax_number": "704-951-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 HIGHWAY 73 STE A",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280379225",
            "telephone_number": "704-951-8238",
            "fax_number": "704-951-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMER",
        "first_name": "SHAUN",
        "middle_name": "JARLERH",
        "name_prefix": "Dr.",
        "name_suffix": "X",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "spinechiropractic@gmail.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7505 Highway 73 Ste A",
            "city": "Denver",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280379225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.