Mia Jasmine Sims

Primary specialty

Dental TherapistTaxonomy code 125J00000X

License

DT0002 Issued in OR

Practice address

2703 Delta Oaks Dr
Eugene, OR 97408-1700

Phone

(541) 221-6226

NPI assigned

Jan 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1346010154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W 20TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052806",
            "telephone_number": "541-221-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 DELTA OAKS DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974081700",
            "telephone_number": "541-221-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "MIA",
        "middle_name": "JASMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H5855",
            "primary": false
        },
        {
            "code": "125J00000X",
            "taxonomy_group": "",
            "desc": "Dental Therapist",
            "state": "OR",
            "license": "DT0002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Chang Sims, M.D.
• Beata Sims
• James Edward Sims, RN, APRN
• Jonathan T Sims, MD
• Kylie Marie Sims
• Thomas J Sims, M.D.
• Victoria Anela Sinclair, LMT
• Katherine Sincuir
• Kenneth Singer, MD
• Bettyann Jane Singh, MSW

• Dental Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Dental Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.