Active NPI
Boyd Wayne Simkins, D.D.S.
- Pediatric Dentistry
- North Ogden, UT
National Provider Identifier
1164479267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 5637049
- Practice address
- 2667 N Washington Blvd
North Ogden, UT 84414-2240 - Phone
- (801) 782-3920
- Fax
- (801) 782-4380
- NPI assigned
- May 27, 2006
- Last updated
- Oct 22, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 5637049 | UT | Primary |
Addresses
Primary practice location
2667 N Washington Blvd
North Ogden, UT 84414-2240
Mailing address
2667 N Washington Blvd
North Ogden, UT 84414-2240
Phone (801) 782-3920
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5637049 | Other | UT | STATE ID NUMBER |
| 56370499902001 | Other | UT | BCBS PROVIDER NUMBER |
| 1692204 | Other | UT | TRICARE PROVIDER NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bsimkins655259@direct.med.utah.edu | Direct | University of Utah |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5637049 | UT | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boyd Simkins DDS PC | Pediatric Dentistry | Current | Accepting new patients |
Locations
2667 N Washington Blvd
North Ogden, UT 84414
Phone (801) 782-3920
Interoperability endpoints
- bsimkins655259@direct.med.utah.edu
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- North Ogden, UT
- NPI 1598607731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697932800000",
"number": "1164479267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2667 N WASHINGTON BLVD",
"city": "NORTH OGDEN",
"state": "UT",
"postal_code": "844142240",
"telephone_number": "801-782-3920",
"fax_number": "801-782-4380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2667 N WASHINGTON BLVD",
"city": "NORTH OGDEN",
"state": "UT",
"postal_code": "844142240",
"telephone_number": "801-782-3920",
"fax_number": "801-782-4380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMKINS",
"first_name": "BOYD",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2023-10-22",
"certification_date": "2023-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "UT",
"license": "5637049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID NUMBER",
"identifier": "5637049",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "56370499902001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PROVIDER NUMBER",
"identifier": "1692204",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bsimkins655259@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.