Simister Premier Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

S3153

Legal business name

SIMISTER PREMIER ORTHODONTICS

Doing business as

Simister and Leaver Orthodontics

Practice address

2430 E Harmon Ave
Suite 3
Las Vegas, NV 89121-5338

Phone

(702) 735-4169

Fax

(702) 735-8697

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas K Simister, D.D.S.

Title

Owner

Phone

(702) 735-4169

Specialties & licenses 1

Addresses

Other names 1

• Simister and Leaver Orthodontics Doing business as

Locations

Practitioners 2

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.

• Kayla Bateman Etman, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Henderson, NV
  • NPI 1124423959
  NPD (past)
• Newell Richard Frei, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
  • NPI 1205055068
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1063606580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196016",
            "telephone_number": "702-735-4169",
            "fax_number": "702-735-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 E HARMON AVE",
            "address_2": "SUITE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215338",
            "telephone_number": "702-735-4169",
            "fax_number": "702-735-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMISTER PREMIER ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "SIMISTER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-735-4169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": "S3153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simister and Leaver Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alejandra Simental, LCSW-I
• Bryan Simeoli
• Laura Simeone
• Tyrrel Simes
• Margaret Simi
• Douglas K. Simister, D.D.S.
• Michael Simister
• Raymond Kent Simister, D.M.D.
• Elizabeth T Simjian
• Kevin Ryan Simmer, PHARMD

• Orthodontics and Dentofacial Orthopedics Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.