Individual provider Active NPI

Stephen Eric Simpson, D.D.S., M.S.

  • Pediatric Dentistry
  • Murfreesboro, TN
National Provider Identifier
1477699734
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS005204 Issued in TN
Practice address
132 Heritage Park Dr
Suite 3
Murfreesboro, TN 37129-0564
Phone
(615) 890-0454
Fax
(615) 890-4882
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS005204 TN Primary

Addresses

Primary practice location

132 Heritage Park Dr
Suite 3
Murfreesboro, TN 37129-0564

Mailing address

132 Heritage Park Dr
Suite 3
Murfreesboro, TN 37129-0564
Phone (615) 890-0454

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DS005204TNMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477699734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 HERITAGE PARK DR",
            "address_2": "SUITE 3",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290564",
            "telephone_number": "615-890-0454",
            "fax_number": "615-890-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 HERITAGE PARK DR",
            "address_2": "SUITE 3",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290564",
            "telephone_number": "615-890-0454",
            "fax_number": "615-890-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "STEPHEN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "DS005204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.