Individual provider Active NPI

Sophia Sim

  • General Practice Dentistry
  • Crown Point, IN
National Provider Identifier
1205746997
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12015141A Issued in IN
Practice address
8000 E Lincoln Hwy
Crown Point, IN 46307-8824
Phone
(219) 356-8000
Fax
(219) 245-0177
NPI assigned
Sep 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12015141A IN Primary

Addresses

Primary practice location

8000 E Lincoln Hwy
Crown Point, IN 46307-8824

Mailing address

8000 E Lincoln Hwy
Crown Point, IN 46307-8824
Phone (219) 356-8000

Other practice location 1

6075 Cleveland Cir
Merrillville, IN 46410-2378
Phone (219) 980-0319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1205746997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 E LINCOLN HWY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078824",
            "telephone_number": "219-356-8000",
            "fax_number": "219-245-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 E LINCOLN HWY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078824",
            "telephone_number": "219-356-8000",
            "fax_number": "219-245-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6075 Cleveland Cir",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464102378",
            "country_code": "US",
            "telephone_number": "219-980-0319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIM",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12015141A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.