Active NPI
Dondre Cortez Simpson, DDS
- General Practice Dentistry
- Greenville, SC
National Provider Identifier
1508085366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4364
- Practice address
- 6A Cleveland CT
Greenville, SC 29607-2414 - Phone
- (864) 283-0141
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN1000155 | DC | |
| General Practice Dentistry | 1223G0001X | 4364 | SC | Primary |
Addresses
Primary practice location
6A Cleveland CT
Greenville, SC 29607-2414
Mailing address
6A Cleveland CT
Greenville, SC 29607-2414
Phone (864) 283-0141
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 |
|---|---|---|---|
| DEN1000155 | DC | MD | General Practice Dentistry |
| 4364 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Classic Dental Group | Current | Accepting new patients | |
| Rittenhouse Dental Group | General Practice | Past | Accepting new patients |
Locations
6A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-3713
Interoperability endpoints
- dondre.simpson.p1@direct.scdc.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Greenville, SC
- NPI 1902458474
-
- General Practice Dentistry
- Washington, DC
- NPI 1427250372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1508085366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6A CLEVELAND CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072414",
"telephone_number": "864-283-0141",
"fax_number": "864-751-5219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6A CLEVELAND CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072414",
"telephone_number": "864-283-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "DONDRE",
"middle_name": "CORTEZ",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DC",
"license": "DEN1000155",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "4364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.