NPIMap

Organization Active NPI

Simon Family Dentistry

  • Dental Clinic/Center
  • Alma, AR
National Provider Identifier
1407473481
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SIMON FAMILY DENTISTRY
Practice address
191 Highway 64 E
Alma, AR 72921-3306
Phone
(479) 430-7049
Fax
(479) 430-7051
NPI assigned
Jun 25, 2020
Last updated
Jun 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Dr. Jeremy Simon, DDSNPI 1306867767
Title
Dentist
Phone
(479) 430-7049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

191 Highway 64 E
Alma, AR 72921-3306

Mailing address

PO Box 150
Alma, AR 72921-0150
Phone (479) 430-7049

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": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1407473481",
    "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": "729210150",
            "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 HIGHWAY 64 E",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729213306",
            "telephone_number": "479-430-7049",
            "fax_number": "479-430-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "479-430-7049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.