Daniel Joseph Simon, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

8457 Issued in KY

Practice address

625 Three Springs Rd
Bowling Green, KY 42104-7528

Phone

(270) 782-5115

Fax

(270) 782-5114

NPI assigned

Jun 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Simon Dentistry LLC

  • Dentist
  • Bowling Green, KY
  • NPI 1124493069
  NPD (past) Authorized official

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1104020114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 THREE SPRINGS RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047528",
            "telephone_number": "270-782-5115",
            "fax_number": "270-782-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 THREE SPRINGS RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047528",
            "telephone_number": "270-782-5115",
            "fax_number": "270-782-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Sikes, PHARMD
• Silver Angels of Kentucky-Bowling Green, LLC
• James Boone Simmons
• Allen J Simms, M.D.
• Simon Dentistry LLC
• Jeremi D Simon, BHS
• Andrew Simpson
• William Blake Simpson, D.M.D.
• Zachary Richard Simpson, M.D.
• Hugh M. Sims III, M.D.

• Dentist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.