Simply Dental

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

D4955 Issued in AZ

Legal business name

SIMPLY DENTAL

Practice address

10646 N 51St Ave
Glendale, AZ 85304-4343

Phone

(623) 878-0882

Fax

(623) 979-3043

NPI assigned

Apr 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Teresa Blatt

Title

Office Manager

Phone

(623) 878-0882

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1023284072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10646 N 51ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853044343",
            "telephone_number": "623-878-0882",
            "fax_number": "623-979-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10646 N 51ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853044343",
            "telephone_number": "623-878-0882",
            "fax_number": "623-979-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "BLATT",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-878-0882"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": "D4955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David L Simms, M.D.
• Aaron Simon
• Simonmed Glendale LLC
• Simonmed Imaging, Inc
• Heidi J. Simonson, P.A.
• Tatiana Simpson
• Khaya Sims
• Martha Sims, MD
• Tim George Sims, LISAC
• Sina Inc

• Preferred Provider Organization in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Preferred Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.