NPIMap

Organization Active NPI

Dennis L. Simonsen DMD PC

Doing business as Simonsen Dental

  • General Practice Dentistry
  • Beaverton, OR
National Provider Identifier
1568629533
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8454 Issued in OR
Legal business name
DENNIS L. SIMONSEN DMD PC
Doing business as
Simonsen Dental
Practice address
14125 SW Farmington Rd
Beaverton, OR 97005-2567
Phone
(503) 646-3169
Fax
(503) 646-1667
NPI assigned
May 19, 2008
Last updated
Aug 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Dr. Dennis L. Simonsen, DMDNPI 1104816529
Title
Dentist
Phone
(503) 646-3169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D8454 OR Primary

Addresses

Primary practice location

14125 SW Farmington Rd
Beaverton, OR 97005-2567

Mailing address

14125 SW Farmington Rd
Beaverton, OR 97005-2567
Phone (503) 646-3169

Other names 1

  • Simonsen Dental Doing business as

National Provider Directory

National Provider Directory

Locations

14125 SW Farmington Rd
Beaverton, OR 97005
Phone (503) 646-3169

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1568629533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14125 SW FARMINGTON RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052567",
            "telephone_number": "503-646-3169",
            "fax_number": "503-646-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14125 SW FARMINGTON RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052567",
            "telephone_number": "503-646-3169",
            "fax_number": "503-646-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS L. SIMONSEN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "SIMONSEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-646-3169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simonsen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.