NPIMap

Organization Active NPI

Simon Dentistry LLC

  • Dentist
  • Bowling Green, KY
National Provider Identifier
1124493069
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SIMON DENTISTRY LLC
Practice address
625 Three Springs Rd
Bowling Green, KY 42104-7528
Phone
(270) 782-5115
Fax
(270) 782-5114
NPI assigned
Dec 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Dr. Daniel J Simon, DMDNPI 1104020114
Title
Doctor/Owner
Phone
(270) 782-5115

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X KY Primary

Addresses

Primary practice location

625 Three Springs Rd
Bowling Green, KY 42104-7528

Mailing address

625 Three Springs Rd
Bowling Green, KY 42104-7528
Phone (270) 782-5115

Other names 1

  • Simon Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

625 Three Springs Rd
Bowling Green, KY 42104
Phone (270) 782-5115

Practitioners & affiliated clinicians

Practitioners 5

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": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1124493069",
    "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": {
        "organization_name": "SIMON DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "270-782-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simon Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.