Organization Active NPI

Craig B. Simmons DDS PLLC

  • Dentist
  • Spokane, WA
National Provider Identifier
1255746558
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00009553 Issued in WA
Legal business name
CRAIG B. SIMMONS DDS PLLC
Practice address
3404 W Northwest Blvd
(509) 326-8039
Spokane, WA 99205-2144
Phone
(509) 326-8039
NPI assigned
Jun 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Craig B Simmons, DDS
Title
Dentist/Owner
Phone
(509) 326-8039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 00009553 WA Primary

Addresses

Primary practice location

3404 W Northwest Blvd
(509) 326-8039
Spokane, WA 99205-2144

Mailing address

3404 W Northwest Blvd
(509) 326-8039
Spokane, WA 99205-2144
Phone (509) 326-8039

Other names 1

  • Downriver Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

3404 W Northwest Blvd
#509
Spokane, WA 99205
Phone (509) 326-8039

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1255746558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 W NORTHWEST BLVD",
            "address_2": "(509) 326-8039",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052144",
            "telephone_number": "509-326-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 W NORTHWEST BLVD",
            "address_2": "(509) 326-8039",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052144",
            "telephone_number": "509-326-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG B. SIMMONS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "509-326-8039",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "00009553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downriver Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.