Individual provider Active NPI

Isabel C Simpson, D.M.D

  • Dentist
  • Avondale, AZ
National Provider Identifier
1285957068
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D7942 Issued in AZ
Practice address
725 N Central Ave
Ste 109
Avondale, AZ 85323-1658
Phone
(623) 925-1399
Fax
(623) 882-8083
NPI assigned
Mar 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D7942 AZ Primary

Addresses

Primary practice location

725 N Central Ave
Ste 109
Avondale, AZ 85323-1658

Mailing address

1220 E San Remo Ave
Gilbert, AZ 85234-3606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150811004860 AZ Order and Referring Only - DentistPractitioner - Dentist 3072828664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7942AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
New Concept Dental Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1285957068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E SAN REMO AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N CENTRAL AVE",
            "address_2": "STE 109",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231658",
            "telephone_number": "623-925-1399",
            "fax_number": "623-882-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "ISABEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.