Organization Active NPI

Total Care Dental PLLC

Doing business as Southridge Dental

  • Dentist
  • Kennewick, WA
National Provider Identifier
1487159331
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60023578 Issued in WA
Legal business name
TOTAL CARE DENTAL PLLC
Doing business as
Southridge Dental
Practice address
2431 S. Quillan PL
Kennewick, WA 99338
Phone
(509) 581-0081
Fax
(509) 591-9888
NPI assigned
Mar 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Mr. Sean F.M. Simper, DDS
Title
DDS/Owner
Phone
(509) 581-0081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE60023578 WA Primary

Addresses

Primary practice location

2431 S. Quillan PL
Kennewick, WA 99338

Mailing address

2431 S. Quillan PL
Kennewick, WA 99338
Phone (509) 581-0081

Other names 1

  • Southridge Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2431 S Quillan Pl
Kennewick, WA 99338

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1487159331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 S. QUILLAN PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99338",
            "telephone_number": "509-581-0081",
            "fax_number": "509-591-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 S. QUILLAN PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99338",
            "telephone_number": "509-581-0081",
            "fax_number": "509-591-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "SIMPER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "F.M.",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "509-581-0081",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60023578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southridge Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.