Simple Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SIMPLE DENTAL PLLC

Practice address

1012 S Crowley Rd Ste C
Crowley, TX 76036-3664

Phone

(817) 928-5659

Fax

(817) 241-0485

NPI assigned

Dec 14, 2021

Organization subpart

No

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

Authorized official

Name

Nicole Green

Title

Office Manager

Phone

(817) 928-5659

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1144989484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1216",
            "city": "ALVARADO",
            "state": "TX",
            "postal_code": "760091216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 S CROWLEY RD STE C",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760363664",
            "telephone_number": "817-928-5659",
            "fax_number": "817-241-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-928-5659"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@thesimpledental.com",
            "affiliation": "N",
            "address_1": "1012 S Crowley Rd Ste C",
            "city": "Crowley",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760363664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Miriam Schindelmeiser
• Linsey Schofield, DPT
• Christine Serrano
• Meredith Lynn Sexton, NP
• S M Noorahmed Siddiquee, LPC
• Ebony Skinner, LPC-S
• Odalis P Skur, D.D.S.
• Jennifer Smith, MAT, LAT, ATC
• Jennifer Smith, LCDC,SAP
• Joshua Ty Smith, D.D.S.

• Dental Clinic/Center in Crowley, TX
• Providers in Crowley, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.