Louis J Altomare & Bryan J Simone

Primary specialty

DentistTaxonomy code 122300000X

License

19692 Issued in OH

Legal business name

LOUIS J ALTOMARE & BRYAN J SIMONE

Practice address

4104 Broadway
Grove City, OH 43123-3065

Phone

(614) 875-3141

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryan J Simone, DDSNPI 1154543296

Title

Partner

Phone

(614) 875-3141

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan J Simone, DDS

  • Dentist
  • Grove City, OH
  • NPI 1154543296
  Authorized official Same address or phone

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184757858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 BROADWAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "43123",
            "telephone_number": "614-875-3141",
            "fax_number": "614-875-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 BROADWAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233065",
            "telephone_number": "614-875-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS J ALTOMARE & BRYAN J SIMONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMONE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "614-875-3141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "12620",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "19692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0893645",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan David Livingston
• Timothy Alan Loew
• Robert Thomas Loker, PHYSICIAN ASSISTANT
• Alonda Shantel Long
• Anthony William Long, PT
• Sarah Louters, OTR/L
• Love Chiropractic Care Inc. (Southwest Chiropractic)
• Christopher Max Love, D.C.
• Kyle James Lowe, DDS
• Donna M Loychik

• Dentist in Grove City, OH
• Providers in Grove City, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.