NPI 1780633081 · live from the CMS NPI Registry
John Manuel Simoes, DPM
Podiatrist in Pawtucket, RI. National Provider Identifier 1780633081, active.
NPI record
| NPI | 1780633081 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 356 East Ave, Pawtucket, RI 02860 |
| Practice phone | 401-726-7777 |
| Mailing address | 190 Slater Ave, Providence, RI 02906 |
| Enumerated | May 6, 2006 |
| Last updated | February 11, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Sports Medicine | 213ES0000X | DPM00312 (RI) |
| Podiatrist primary | 213E00000X | DPM00312 (RI) |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | DPM00312 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.