Jason C. Sims, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010503A Issued in IN

Practice address

4019 Columbus Ave
Anderson, IN 46013-5069

Phone

(765) 642-8286

Fax

(765) 642-1258

NPI assigned

Aug 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Jason C. Sims DDS, P.C.

  • General Practice Dentistry
  • Anderson, IN
  • NPI 1992714760
  NPD (past) Authorized official
• Open Door Health Services, Inc.

  dba Open Door Health Services Blackford County

  • Federally Qualified Health Center (FQHC)
  • Hartford City, IN
  • NPI 1245094028
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639188493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 COLUMBUS AVE",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460135069",
            "telephone_number": "765-642-8286",
            "fax_number": "765-642-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 COLUMBUS AVE",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460135069",
            "telephone_number": "765-642-8286",
            "fax_number": "765-642-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "JASON",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010503A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warda Siddiqui
• Kristine Sikorski, OCCUPATIONAL THERAPI
• David Sills
• Eboney Simonds
• Wyatt Simpson, PHARMACIST
• Shelby Sink
• Olivia Faith Sinnott, BCBA, LBA
• Andrew Sizelove, HIS
• Corey Sizelove, NP
• Sizelove's Hearing Aid Center

• General Practice Dentistry in Anderson, IN
• Providers in Anderson, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.