Individual provider Active NPI

J. Terry Simmons, D. C.

  • Chiropractor
  • Bryant, AR
National Provider Identifier
1942279757
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
794 Issued in AR
Practice address
23253 Interstate 30
Bryant, AR 72022-2571
Phone
(501) 847-7246
Fax
(501) 653-7248
NPI assigned
Mar 15, 2006
Last updated
Sep 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 794 AR Primary
Acupuncturist 171100000X 794 AR

Addresses

Primary practice location

23253 Interstate 30
Bryant, AR 72022-2571

Mailing address

23253 Interstate 30
Bryant, AR 72022-2571
Phone (501) 847-7246

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
794ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Chiropractic Health Center PLLC Chiropractor CurrentSince Nov 10, 2018 Accepting new patients

Locations

23253 Interstate 30 S
Bryant, AR 72022
Phone (501) 847-7246

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1942279757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23253 INTERSTATE 30",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720222571",
            "telephone_number": "501-847-7246",
            "fax_number": "501-653-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23253 INTERSTATE 30",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720222571",
            "telephone_number": "501-847-7246",
            "fax_number": "501-653-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "J. TERRY",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "794",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AR",
            "license": "794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.