NPIMap

Organization Active NPI

Charles H. Simpson III, D.D.S., P.a.

  • General Practice Dentistry
  • Apex, NC
National Provider Identifier
1285630707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7177 Issued in NC
Legal business name
CHARLES H. SIMPSON III, D.D.S., P.A.
Practice address
800 W Williams St
Ste 240
Apex, NC 27502-5204
Phone
(919) 363-8444
Fax
(919) 363-6391
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles H. Simpson III, D.D.S.NPI 1407852908
Title
Dentist
Phone
(919) 363-8444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7177 NC Primary

Addresses

Primary practice location

800 W Williams St
Ste 240
Apex, NC 27502-5204

Mailing address

800 W Williams St
Ste 240
Apex, NC 27502-5204
Phone (919) 363-8444

Other identifiers 1

IdentifierTypeStateIssuer
899014JMedicaidNC

Other names 1

  • Renaissance Dentistry Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285630707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W WILLIAMS ST",
            "address_2": "STE 240",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275025204",
            "telephone_number": "919-363-8444",
            "fax_number": "919-363-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W WILLIAMS ST",
            "address_2": "STE 240",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275025204",
            "telephone_number": "919-363-8444",
            "fax_number": "919-363-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES H. SIMPSON III, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-363-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899014J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.