Individual provider Active NPI

Or Simel, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Sunnyvale, CA
National Provider Identifier
1134567811
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
63216 Issued in CA
Practice address
990 W Fremont Ave Ste J
Sunnyvale, CA 94087-3065
Phone
(408) 431-1782
NPI assigned
Jun 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 63216 CA Primary

Addresses

Primary practice location

990 W Fremont Ave Ste J
Sunnyvale, CA 94087-3065

Mailing address

1303 5TH Ave
San Francisco, CA 94122-2618
Phone (408) 431-1782

Other practice location 1

1303 5th Ave
San Francisco, CA 94122-2618
Phone (408) 431-1782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1134567811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 5TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222618",
            "telephone_number": "408-431-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 W FREMONT AVE STE J",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873065",
            "telephone_number": "408-431-1782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 5th Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941222618",
            "country_code": "US",
            "telephone_number": "408-431-1782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMEL",
        "first_name": "OR",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "63216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2024; 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.