Jeremy Stephen Simon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AR3440 Issued in AR

Practice address

191 Hwy 64 East
Alma, AR 72921

Phone

(479) 430-7049

Fax

(479) 430-7051

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Simon Family Dentistry

  • Dental Clinic/Center
  • Alma, AR
  • NPI 1407473481
  NPD Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306867767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "72921",
            "telephone_number": "479-430-7049",
            "fax_number": "479-430-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 HWY 64 EAST",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "72921",
            "telephone_number": "479-430-7049",
            "fax_number": "479-430-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JEREMY",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "AR3440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5X479",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Nicole Sandifer
• Ronald D. Schlabach, MD
• Cheryl Lynette Scott, PHARMACIST
• Nickole Shelton, COTA/L
• Simon Family Dentistry
• Allison Kristen Sims, SLP
• Tiffany J Smith-Morphis
• James William Smith, D.C.
• Braedyn Meshell Smithson
• Sparks Medical Foundation

• General Practice Dentistry in Alma, AR
• Providers in Alma, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.