DR. JONATHAN DAVID SIMON D.C. NPI 1134266349

NPI Information

NPI: 1134266349
Provider Name: DR. JONATHAN DAVID SIMON, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
1815 MASSACHUSETTS AVE # 007
CAMBRIDGE, MA
ZIP 02140
Phone: (617) 497-9474
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DR. Jonathan David Simon, D.C. is a chiropractor in Cambridge, MA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Jonathan David Simon, D.C. NPI is 1134266349. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1815 MASSACHUSETTS AVE # 007
CAMBRIDGE, MA
ZIP 02140-430
Phone: (617) 497-9474
Fax: (617) 868-4357

The enumeration date for this NPI number is 1/30/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		CH 1586	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	814646	OTHER	MARYLAND	USHEALTHCARE ID
2	4615159	OTHER	MASSACHUSETTS	AETNA ID
3	4400207	OTHER	MARYLAND	UNITEDHEALTHCARE ID
4	SIY36128	OTHER	MASSACHUSETTS	BLUECROSSBLUESHIELD ID
5	U66748	MEDICARE UPIN	MASSACHUSETTS
6	351074	OTHER	MASSACHUSETTS	HARVARDPILGRIM ID
7	SIY45131	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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