Bellevue Neuromuscular Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6392 Issued in WA

Legal business name

BELLEVUE NEUROMUSCULAR DENTISTRY LLC

Practice address

1515 116TH Ave NE
Suite 303
Bellevue, WA 98004-3811

Phone

(425) 637-1000

Fax

(206) 682-0775

NPI assigned

Jan 5, 2009

Last updated

Jan 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Willam Cris Simmons, DDS

Title

Owner

Phone

(425) 637-1000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Cris Simmons, DDS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1467452631
  NPD (past)

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1033355581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 116TH AVE NE",
            "address_2": "SUITE 303",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043811",
            "telephone_number": "425-637-1000",
            "fax_number": "206-682-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 116TH AVE NE",
            "address_2": "SUITE 303",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043811",
            "telephone_number": "425-637-1000",
            "fax_number": "206-682-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE NEUROMUSCULAR DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "WILLAM",
        "authorized_official_middle_name": "CRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-637-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bellevue Laser and Cosmetic Center PS
• Bellevue Legacy Primary Care PLLC
• Bellevue Medical Center
• Bellevue Medical Imaging, PLLC
• Bellevue Neurology and Neuroscience PLLC
• Bellevue OBGYN LLC
• Bellevue Optometry Clinic PS (Bellevue Optometry Clinic)
• Bellevue Orthopedic Physicians PLLC (Bellevue Hand Surgery)
• Bellevue Pain and Wellness PLLC
• Bellevue Park Dental

• General Practice Dentistry in Bellevue, WA
• Providers in Bellevue, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.