Organization Active NPI

Thomas M Simpson DDS PC

  • General Practice Dentistry
  • Boulder, CO
National Provider Identifier
1194984971
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105204 Issued in CO
Legal business name
THOMAS M SIMPSON DDS PC
Practice address
3093 Broadway St
Boulder, CO 80304-3151
Phone
(303) 442-4437
Fax
(303) 545-5324
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Mrs. Robin Reddick
Title
Financial Administrator
Phone
(303) 442-4491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 105204 CO Primary

Addresses

Primary practice location

3093 Broadway St
Boulder, CO 80304-3151

Mailing address

3093 Broadway St
Boulder, CO 80304-3151
Phone (303) 442-4437

Other identifiers 1

IdentifierTypeStateIssuer
70224544MedicaidCO

Other names 1

  • simpsondentistry Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1194984971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3093 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043151",
            "telephone_number": "303-442-4437",
            "fax_number": "303-545-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3093 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043151",
            "telephone_number": "303-442-4437",
            "fax_number": "303-545-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M SIMPSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "REDDICK",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "FINANCIAL ADMINISTRATOR",
        "authorized_official_telephone_number": "303-442-4491",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70224544",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "simpsondentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.