Individual provider Active NPI

Roberta Judith Simpkins, RDA

  • Dental Assistant
  • Menifee, CA
National Provider Identifier
1295212496
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
51035 Issued in CA
Practice address
30035 Haun Rd BLDG B
Menifee, CA 92584-6805
Phone
(951) 566-9090
NPI assigned
Jul 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X 51035 CA Primary

Addresses

Primary practice location

30035 Haun Rd BLDG B
Menifee, CA 92584-6805

Mailing address

30035 Haun Rd BLDG B
Menifee, CA 92584-6805
Phone (951) 566-6060

Other identifiers 1

IdentifierTypeStateIssuer
51035MedicaidCA

Other names 1

  • Roberta Judith Simpkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
51035CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1295212496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30035 HAUN RD BLDG B",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925846805",
            "telephone_number": "951-566-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30035 HAUN RD BLDG B",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925846805",
            "telephone_number": "951-566-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPKINS",
        "first_name": "ROBERTA",
        "middle_name": "JUDITH",
        "credential": "RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "51035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51035",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTA",
            "last_name": "SIMPKINS",
            "middle_name": "JUDITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.