Jared Scott Simpson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

54553 Issued in CA

Practice address

234 Baker St Ste 6
Bakersfield, CA 93305-5856

Phone

(661) 632-2144

Fax

(661) 632-2147

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
  • NPI 1245234673
  NPD (past)
• Clinica Sierra Vista

  dba East Bakersfield Dental Center

  • Dental Clinic/Center
  • Bakersfield, CA
  • NPI 1457580698
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1568424786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 CROWN CREST DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118503",
            "telephone_number": "661-654-0243",
            "fax_number": "661-632-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 BAKER ST STE 6",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933055856",
            "telephone_number": "661-632-2144",
            "fax_number": "661-632-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JARED",
        "middle_name": "SCOTT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6587",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "994617",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Simonyan
• Gwen Lavern Simpkins
• Simpson Shuttle Service
• Avery James Simpson
• Hannah Simpson
• Lakeisha Renee Simpson, LVN
• Jenna-Leigh Colleen Sims
• Ricky Leon Sims
• Moshe Sinaie, DPM
• Tisha Sinclair, RDO

• Dentist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.