Joshua M Simpson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002483 Issued in WI

Practice address

820 Arbutus Ave
Oconto, WI 54153-2004

Phone

(920) 516-7107

Fax

(715) 934-5554

NPI assigned

May 22, 2017

Last updated

Mar 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1245767250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15735 W US HIGHWAY 63",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548436475",
            "telephone_number": "715-634-2541",
            "fax_number": "715-934-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 ARBUTUS AVE",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "541532004",
            "telephone_number": "920-516-7107",
            "fax_number": "715-934-5554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075213",
            "country_code": "US",
            "telephone_number": "215-525-3046",
            "fax_number": "215-567-1617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JOSHUA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041221",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041221",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033445630001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10334563",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Joyce Russell, M.D.
• David Schreiter, CSAC
• Shopko #602
• Shopko Stores Operating Co LLC (ShopKo Optical 602)
• Shopko Stores Operating Co LLC (ShopKo Pharmacy 602)
• Marissa Spatz
• St Clare Memorial Hospital, Inc (St Clare Memorial Hospital Oconto Health Center)
• St Vincent Hospital-Hospital Sisters-Third Order of St Francis (Prevea Health-Oconto DME Supplier)
• St Vincent Hospital-Hospital Sisters-Third Order of St Francis (St. Vincent Hospital-Libertas of Oconto)
• Elizabeth R Stukenberg, DNP, APNP, FNP-BC

• General Practice Dentistry in Oconto, WI
• Providers in Oconto, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.