Active NPI
Simon Bell, DDS
- Pediatric Dentistry
- Sebastopol, CA
National Provider Identifier
1417521196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 106128
- Practice address
- 8901 Barnett Valley Rd
Sebastopol, CA 95472-9564 - Phone
- (707) 292-7986
- NPI assigned
- May 17, 2021
- Last updated
- Oct 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 106128 | CA | Primary |
Addresses
Primary practice location
8901 Barnett Valley Rd
Sebastopol, CA 95472-9564
Mailing address
540 Swain Ave
Sebastopol, CA 95472-4323
Phone (707) 292-7986
Other practice location 1
8911 Lakewood Dr Ste 15
Windsor, CA 95492-7857
Phone (707) 838-7207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106128 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Simon Bell, a Dental Corporation | Pediatric Dentistry | Current | Accepting new patients |
Locations
8911 Lakewood Dr
Ste 15
Windsor, CA 95492
Phone (707) 292-7986
Interoperability endpoints
- simon.bell.p1@direct.wcchc.nextgenshare.com
Organizations & group practices 1
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.
-
dba Life of Smiles
- Pediatric Dentistry
- Sebastopol, CA
- NPI 1669300802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1417521196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 SWAIN AVE",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724323",
"telephone_number": "707-292-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 BARNETT VALLEY RD",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954729564",
"telephone_number": "707-292-7986"
}
],
"practiceLocations": [
{
"address_1": "8911 Lakewood Dr Ste 15",
"address_purpose": "LOCATION",
"city": "Windsor",
"state": "CA",
"postal_code": "954927857",
"country_code": "US",
"telephone_number": "707-838-7207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELL",
"first_name": "SIMON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-17",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "106128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.