Organization Active NPI

Simon W Yampolski, DMD, PC

  • Pediatric Dentistry
  • Milford, MA
National Provider Identifier
1316080732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12415 Issued in MA
Legal business name
SIMON W YAMPOLSKI, DMD, PC
Practice address
192 West St
Milford, MA 01757-2239
Phone
(508) 478-2131
Fax
(508) 634-3041
NPI assigned
Feb 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Simon W Yampolski, DMDNPI 1548303951
Title
President
Phone
(508) 478-2131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 12415 MA Primary

Addresses

Primary practice location

192 West St
Milford, MA 01757-2239

Mailing address

192 West St
Milford, MA 01757-2239
Phone (508) 478-2131

Other identifiers 1

IdentifierTypeStateIssuer
9728147MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316080732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 WEST ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572239",
            "telephone_number": "508-478-2131",
            "fax_number": "508-634-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 WEST ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572239",
            "telephone_number": "508-478-2131",
            "fax_number": "508-634-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON W YAMPOLSKI, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAMPOLSKI",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-478-2131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "12415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9728147",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

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.