Simply Periodontics LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

SIMPLY PERIODONTICS LLC

Practice address

255 Park Ave Ste 303
Worcester, MA 01609-1985

Phone

(508) 755-3636

NPI assigned

May 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Houssam Alkhoury

Title

Owner

Phone

(508) 505-5040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1033959598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 W ELM ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017482119",
            "telephone_number": "508-505-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 303",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091985",
            "telephone_number": "508-755-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY PERIODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "ALKHOURY",
        "authorized_official_first_name": "HOUSSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-505-5040",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simply Dental at Worcester, PLLC
• Simply Dental of Worcester East PLLC
• Simply Dental of Worcester South PLLC
• Simply Dental of Worcester South PLLC
• Simply Orthodontics and Pediatrics Worcester, PLLC
• Asha Simpson
• Cara A Simpson, GNP
• Erin Fleming Simpson, M.S., CCC-SLP
• Ian Keith Simpson, D.C.
• Kaitlin Emily Simpson, MS, OTR/L

• Periodontics in Worcester, MA
• Providers in Worcester, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.