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SIMI SPINE AND WELLNESS A CHIROPRACTIC CORPORATION OF SHAWN DECLOEDT
NPI 1366005704
Chiropractor in Simi Valley, CA

Active since April 22, 2019
3655 ALAMO ST STE 201, SIMI VALLEY, CA 93063(805) 581-2310(805) 335-2439 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 19, 2022, Jul 28, 2021, Apr 22, 2019 (3 updates tracked since 2019).

About Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIMI SPINE AND WELLNESS A CHIROPRACTIC CORPORATION OF SHAWN DECLOEDT (NPI 1366005704) is a healthcare organization registered as a chiropractor in Simi Valley, California and active in the NPI registry since April 2019. The organization lists Shawn Stuart Decloedt, President, as its authorized official.

NPPES Registry Identity

NPI1366005704
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSIMI SPINE AND WELLNESS A CHIROPRACTIC CORPORATION OF SHAWN DECLOEDT
Location Address3655 ALAMO ST STE 201Simi Valley, CA 93063-2187
Mailing AddressPo Box 1209Simi Valley, CA 93062-1209 · (805) 581-2310 · Fax (805) 335-2439
Phone(805) 581-2310
Fax(805) 335-2439
Organization SubpartNo
Authorized OfficialShawn Stuart DecloedtPresident · (805) 581-2310
Enumeration DateApril 22, 2019
Last NPPES UpdateApril 19, 20223 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
✔ NPI 1366005704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
3655 ALAMO ST STE 201, Simi Valley, CA 93063
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shawn Decloedt, D.C.
Chiropractic
NPI 1144461294
3655 ALAMO ST STE 201
Simi Valley, CA 93063
(805) 581-2310
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt's NPI number?

The NPI number for Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt is 1366005704. It was assigned to this organization in the NPPES registry on April 22, 2019.

Where is Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt located?

Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt is located at 3655 Alamo St Ste 201, Simi Valley, CA 93063. The listed phone number is (805) 581-2310.

What is Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt enrolled in Medicare?

Yes. Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.