Individual provider Active NPI

Erik Michael Simms, D.C.

  • Chiropractor
  • Walton, KY
National Provider Identifier
1962521377
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5234 Issued in KY
Practice address
11091 Clay Dr
Walton, KY 41094-7473
Phone
(859) 307-8779
Fax
(859) 317-5481
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2007007863 MO
Chiropractor 111N00000X 08002373A IN
Chiropractor 111N00000X 5234 KY Primary

Addresses

Primary practice location

11091 Clay Dr
Walton, KY 41094-7473

Mailing address

11091 Clay Dr
Walton, KY 41094-7473
Phone (859) 307-8779

Other identifiers 1

IdentifierTypeStateIssuer
K064140OtherKYMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121108000069 KY Practitioner - Chiropractic 2860578713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11053 Clay Dr
Walton, KY 41094-7472
Phone (859) 918-6868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
08002373AINMDChiropractor
2007007863MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Chiropractic Chiropractor CurrentSince Sep 29, 2012 Accepting new patients
Corydon Pain Management Clinic Inc Chiropractor Past Accepting new patients
Harrison County Chiropractic PC Chiropractor PastSince Dec 13, 2020 Accepting new patients
Meridian Chiropractic Chiropractor Past Accepting new patients

Locations

9990 Old Union Rd
Union, KY 41091
Phone (859) 918-6868

11091 Clay Dr
Walton, KY 41094
Phone (859) 918-6868

11053 Clay Dr
Walton, KY 41094
Phone (859) 918-6868

Organizations & group practices 4

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1962521377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11091 CLAY DR",
            "city": "WALTON",
            "state": "KY",
            "postal_code": "410947473",
            "telephone_number": "859-307-8779",
            "fax_number": "859-317-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11091 CLAY DR",
            "city": "WALTON",
            "state": "KY",
            "postal_code": "410947473",
            "telephone_number": "859-307-8779",
            "fax_number": "859-317-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "ERIK",
        "middle_name": "MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007007863",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002373A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K064140",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.