Organization Active NPI

Robert M Simons LTD

  • General Practice Dentistry
  • Grand Forks, ND
National Provider Identifier
1053765750
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1717 Issued in ND
Legal business name
ROBERT M SIMONS LTD
Practice address
2401 S Washington St
Suite a
Grand Forks, ND 58201-6747
Phone
(701) 772-3487
Fax
(701) 772-4917
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Dr. Robert M Simons, DDSNPI 1346259074
Title
Owner
Phone
(701) 772-3487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1717 ND Primary

Addresses

Primary practice location

2401 S Washington St
Suite a
Grand Forks, ND 58201-6747

Mailing address

2401 S Washington St
Suite a
Grand Forks, ND 58201-6747
Phone (701) 772-3487

National Provider Directory

National Provider Directory

Locations

2401 S Washington St
Ste A
Grand Forks, ND 58201
Phone (701) 772-3487

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1053765750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016747",
            "telephone_number": "701-772-3487",
            "fax_number": "701-772-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016747",
            "telephone_number": "701-772-3487",
            "fax_number": "701-772-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M SIMONS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-772-3487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.