Active NPI
Cary B Simonds, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Spokane, WA
National Provider Identifier
1508862293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 7503
- Practice address
- 123 W Francis Ave
Spokane, WA 99205-6348 - Phone
- (509) 928-8800
- Fax
- (509) 321-0154
- NPI assigned
- Jun 27, 2005
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7503 | WA | Primary |
Addresses
Primary practice location
123 W Francis Ave
Spokane, WA 99205-6348
Mailing address
Oral Surgery Plus
123 W Francis
Spokane, WA 99205
Phone (509) 928-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5026091 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 13, 2015 through May 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7503 | WA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral Surgery Plus P.S. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Oral and Maxillofacial Pathology Dentistry
- Spokane, WA
- NPI 1942410436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1508862293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ORAL SURGERY PLUS",
"address_2": "123 W FRANCIS",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99205",
"telephone_number": "509-928-8800",
"fax_number": "509-321-0154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W FRANCIS AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992056348",
"telephone_number": "509-928-8800",
"fax_number": "509-321-0154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONDS",
"first_name": "CARY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WA",
"license": "7503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5026091",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.