Active NPI
Sarah E Simptkins, RDH
- Dental Hygienist
- East Prairie, MO
National Provider Identifier
1295229011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2015018514
- Practice address
- 111 Prairie Drive
East Prairie, MO 63845 - Phone
- (573) 649-9311
- Fax
- (573) 649-9331
- NPI assigned
- Jun 15, 2018
- Last updated
- Jun 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2015018514 | MO | Primary |
Addresses
Primary practice location
111 Prairie Drive
East Prairie, MO 63845
Mailing address
111 Prairie Drive
East Prairie, MO 63845-4403
Phone (573) 649-9311
Other practice location 1
220 Southland Dr
Sikeston, MO 63801-4403
Phone (573) 471-4167
Other names 1
- Sarah E Jackson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2015018514 | MO | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Missouri Health Network | Past | Accepting new patients | |
| Southeast Missouri Health Network | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- East Prairie, MO
- NPI 1679019491
-
dba NMCC School Based Health Center
- Federally Qualified Health Center (FQHC)
- New Madrid, MO
- NPI 1790531119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1295229011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 PRAIRIE DRIVE",
"city": "EAST PRAIRIE",
"state": "MO",
"postal_code": "638454403",
"telephone_number": "573-649-9311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PRAIRIE DRIVE",
"city": "EAST PRAIRIE",
"state": "MO",
"postal_code": "63845",
"telephone_number": "573-649-9311",
"fax_number": "573-649-9331"
}
],
"practiceLocations": [
{
"address_1": "220 Southland Dr",
"address_purpose": "LOCATION",
"city": "Sikeston",
"state": "MO",
"postal_code": "638014403",
"country_code": "US",
"telephone_number": "573-471-4167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMPTKINS",
"first_name": "SARAH",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-15",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MO",
"license": "2015018514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "JACKSON",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in East Prairie, MO
- Quality Care Services
- Quality Care Services LLC
- Kenna J Sadler, LMSW
- Saint Francis Medical Center (Saint Francis Clinic East Prairie)
- Saint Francis Medical Center (Saint Francis Clinic East Prairie)
- Skillset LLC
- Joann Lucille Smithson, COTA
- Ryan Blake Smithson, FNP
- Southeast Missouri Health Network
- Miranda B Thurman, APRN, FNP, BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.