Douglas K. Simister, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3196 Issued in NV

Practice address

6710 S Fort Apache Rd # 101
Las Vegas, NV 89148-5394

Phone

(702) 254-4335

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pure Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
  • NPI 1609672765
  NPD Authorized official

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1255347803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 S FORT APACHE RD # 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485394",
            "telephone_number": "702-254-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 S FORT APACHE RD # 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485394",
            "telephone_number": "702-254-4335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 E Aultman St",
            "address_purpose": "LOCATION",
            "city": "Ely",
            "state": "NV",
            "postal_code": "893012513",
            "country_code": "US",
            "telephone_number": "702-241-1223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9859 W Deer Springs Way Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891491448",
            "country_code": "US",
            "telephone_number": "702-445-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMISTER",
        "first_name": "DOUGLAS",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "3196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Simeoli
• Laura Simeone
• Tyrrel Simes
• Margaret Simi
• Simister Premier Orthodontics (Simister and Leaver Orthodontics)
• Michael Simister
• Raymond Kent Simister, D.M.D.
• Elizabeth T Simjian
• Kevin Ryan Simmer, PHARMD
• Jerry Simmons Jr

• Orthodontics and Dentofacial Orthopedics Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.