NPIMap

Organization Active NPI

John a Simpson DDS PC

  • General Practice Dentistry
  • Rupert, ID
National Provider Identifier
1497914337
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D1885 Issued in ID
Legal business name
JOHN A SIMPSON DDS PC
Practice address
502 8TH St
Rupert, ID 83350-1417
Phone
(208) 436-4747
Fax
(208) 436-9683
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. John A Simpson, DDS PCNPI 1427097963
Title
President
Phone
(208) 436-4747

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D1885 ID Primary

Addresses

Primary practice location

502 8TH St
Rupert, ID 83350-1417

Mailing address

502 8TH St
Rupert, ID 83350-1417
Phone (208) 436-4747

Other identifiers 2

IdentifierTypeStateIssuer
001261000MedicaidID
9200493OtherIDIDAHO SMILES

National Provider Directory

National Provider Directory

Locations

502 8th St
Rupert, ID 83350
Phone (208) 436-4747

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1497914337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 8TH ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501417",
            "telephone_number": "208-436-4747",
            "fax_number": "208-436-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 8TH ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501417",
            "telephone_number": "208-436-4747",
            "fax_number": "208-436-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A SIMPSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-436-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001261000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO SMILES",
            "identifier": "9200493",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rupert, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.