Individual provider Active NPI

Anne Fitzgerald Simonsen, D.M.D.

  • Dentist
  • Carmel, CA
National Provider Identifier
1578734182
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS62302 Issued in CA
Practice address
26335 Carmel Rancho Blvd Ste 5
Carmel, CA 93923-8889
Phone
(831) 622-7100
Fax
(831) 293-8643
NPI assigned
Mar 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS62302 CA Primary

Addresses

Primary practice location

26335 Carmel Rancho Blvd Ste 5
Carmel, CA 93923-8889

Mailing address

26335 Carmel Rancho Blvd Ste 5
Carmel, CA 93923-8889
Phone (831) 622-7100

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

LicenseStateTypeSpecialty
DDS62302CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hilary L Fritsch DMD Inc PastSince Jul 21, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1206230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1578734182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26335 CARMEL RANCHO BLVD STE 5",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238889",
            "telephone_number": "831-622-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26335 CARMEL RANCHO BLVD STE 5",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238889",
            "telephone_number": "831-622-7100",
            "fax_number": "831-293-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSEN",
        "first_name": "ANNE",
        "middle_name": "FITZGERALD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-23",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS62302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.