Craig Barry Simmons, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9553 Issued in WA

Practice address

3404 W Northwest Blvd
Spokane, WA 99205-2144

Phone

(509) 326-8039

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Craig B. Simmons DDS PLLC

  dba Downriver Smiles

  • Dentist
  • Spokane, WA
  • NPI 1255746558
  Authorized official Same address or phone
• Simmons DDS PLLC

  dba Holistic Dental Center

  • Dentist
  • Spokane, WA
  • NPI 1861876815
  NPD (past) Authorized official
• Down River Smiles

  • Dental Clinic/Center
  • Spokane, WA
  • NPI 1205593084
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144313966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 N SUTHERLIN ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 W NORTHWEST BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052144",
            "telephone_number": "509-326-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CRAIG",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5046123",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nara Mira Simcik, RN
• Rosalie Simkins
• Tami Sue Simkins, MC61497214 - PENDING
• Christina Marie Simm
• Simmons DDS PLLC (Holistic Dental Center)
• Isabel Ryan Simmons
• Lacey Dawn Simmons, LMP
• Lexus Infiniti Dean Simmons, PEER SUPPORT SPECIAL
• Mandy Lynn Simmons, CPC
• Nicholas Ray Simmons, MD

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.