Active NPI
Erik Michael Simms, D.C.
- Chiropractor
- Walton, KY
National Provider Identifier
1962521377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5234
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K064140 | Other | KY | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002373A | IN | MD | Chiropractor |
| 2007007863 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Chiropractic | Chiropractor | Current | Accepting new patients |
| Corydon Pain Management Clinic Inc | Chiropractor | Past | Accepting new patients |
| Harrison County Chiropractic PC | Chiropractor | Past | 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.
-
- Chiropractor
- Walton, KY
- NPI 1841669397
-
- Chiropractor
- Union, KY
- NPI 1053667659
-
- Interventional Pain Medicine Physician
- Corydon, IN
- NPI 1689966434
Chiropractor
-
- Chiropractor
- Corydon, IN
- NPI 1316088578
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.