Active NPI
Natalie R Simpson, DDS
- General Practice Dentistry
- Marietta, GA
National Provider Identifier
1184760522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 013377
- Practice address
- 1951 Canton Rd
Suite 310
Marietta, GA 30066-6327 - Phone
- (770) 423-0324
- NPI assigned
- Jan 30, 2007
- Last updated
- Oct 16, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 013377 | GA | Primary |
Addresses
Primary practice location
1951 Canton Rd
Suite 310
Marietta, GA 30066-6327
Mailing address
1951 Canton Rd
Suite 310
Marietta, GA 30066-6327
Phone (770) 423-0324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 696637640D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013377 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Damian Sommerville, DDS | General Practice | Past | Accepting new patients |
| Georgia Dental Professionals, PC | General Practice | Past | Accepting new patients |
Locations
777 Bannock St
Denver, CO 80204
777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714
Organizations & group practices 4
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.
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- Psychiatric Hospital Unit
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- NPI 1689624942
-
- General Practice Dentistry
- Marietta, GA
- NPI 1003291329
-
dba Kennesaw Complete Dental
- General Practice Dentistry
- Kennesaw, GA
- NPI 1831773233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1184760522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 CANTON RD",
"address_2": "SUITE 310",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666327",
"telephone_number": "770-423-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 CANTON RD",
"address_2": "SUITE 310",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666327",
"telephone_number": "770-423-0324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "NATALIE",
"middle_name": "R",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "013377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "696637640D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.