NPIMap

Organization Active NPI

Simple Solutions Endodontics LLC

Doing business as Apopka Endodontics

  • Endodontics
  • Apopka, FL
National Provider Identifier
1083091342
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN17256 Issued in FL
Legal business name
SIMPLE SOLUTIONS ENDODONTICS LLC
Doing business as
Apopka Endodontics
Practice address
660 Executive Park CT Ste 1600
Apopka, FL 32703-6080
Phone
(407) 930-4496
Fax
(407) 930-4497
NPI assigned
May 6, 2015
Last updated
Jul 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Dr. Ericka Ferguson, DMD
Title
Owner
Phone
(407) 930-4496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN17256 FL Primary

Addresses

Primary practice location

660 Executive Park CT Ste 1600
Apopka, FL 32703-6080

Mailing address

660 Executive Park CT Ste 1600
Apopka, FL 32703-6080
Phone (407) 930-4496

Other identifiers 1

IdentifierTypeStateIssuer
023026500MedicaidFL

Other names 1

  • Apopka Endodontics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1083091342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 EXECUTIVE PARK CT STE 1600",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036080",
            "telephone_number": "407-930-4496",
            "fax_number": "407-930-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 EXECUTIVE PARK CT STE 1600",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036080",
            "telephone_number": "407-930-4496",
            "fax_number": "407-930-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE SOLUTIONS ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-930-4496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN17256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023026500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apopka Endodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apopka Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.