Individual provider Active NPI

Scott T Simpson, DMD

  • Dentist
  • Tigard, OR
National Provider Identifier
1396766036
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN17193 Issued in FL
Practice address
16035 SW Pacific Hwy
Tigard, OR 97224-3438
Phone
(503) 620-2185
Fax
(503) 670-4863
NPI assigned
Jul 21, 2006
Last updated
Apr 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN17193 FL Primary

Addresses

Primary practice location

16035 SW Pacific Hwy
Tigard, OR 97224-3438

Mailing address

16035 SW Pacific Hwy
Tigard, OR 97224-3438
Phone (503) 620-2185

Other identifiers 1

IdentifierTypeStateIssuer
DN 17193OtherFLFORIDA DENTAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200619000398 OR Practitioner - Dentist 1254635311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Simpson Dental Care, PC CurrentSince Apr 19, 2020 Accepting new patients
Appletree Dentistry LLC Dentist PastSince Apr 19, 2020 Accepting new patients

Locations

16035 SW Pacific Hwy
Tigard, OR 97224
Phone (503) 201-0570

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1396766036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16035 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243438",
            "telephone_number": "503-620-2185",
            "fax_number": "503-670-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16035 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243438",
            "telephone_number": "503-620-2185",
            "fax_number": "503-670-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "SCOTT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FORIDA DENTAL LICENSE NUMBER",
            "identifier": "DN 17193",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.