Organization Active NPI

James E. Simpson D.M.D.

Doing business as Carterville Family Dentistry

  • General Practice Dentistry
  • Carterville, IL
National Provider Identifier
1053559781
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019018834 Issued in IL
Legal business name
JAMES E. SIMPSON D.M.D.
Doing business as
Carterville Family Dentistry
Practice address
301 N Division St
Carterville, IL 62918-1205
Phone
(618) 985-3515
Fax
(618) 985-3986
NPI assigned
Feb 3, 2009
Last updated
Feb 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
James E Simpson, DMD
Title
Owner
Phone
(618) 985-3515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019018834 IL Primary

Addresses

Primary practice location

301 N Division St
Carterville, IL 62918-1205

Mailing address

PO Box 433
Carterville, IL 62918-0433
Phone (618) 985-3515

Other names 1

  • Carterville Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

301 N Division St
Carterville, IL 62918
Phone (618) 985-3515

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1053559781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 433",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180433",
            "telephone_number": "618-985-3515",
            "fax_number": "618-985-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N DIVISION ST",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181205",
            "telephone_number": "618-985-3515",
            "fax_number": "618-985-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E. SIMPSON D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-985-3515",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carterville Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carterville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.