=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861678518
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SIMPSON CHIROPRACTIC, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/11/2008
-----------------------------------------------------
Last Update Date | 11/23/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9301 E SHEA BLVD STE 127
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85260-6736
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-614-0052
-----------------------------------------------------
Fax | 480-614-9880
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9301 E SHEA BLVD STE 127
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85260-6736
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-614-0052
-----------------------------------------------------
Fax | 480-614-9880
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIROPRACTOR
-----------------------------------------------------
Name | DR. IAIN K SIMPSON
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 480-614-0052
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 7121
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------