Troy Gordon Simpson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3268 Issued in ID

Practice address

1180 Parkway Drive
Blackfoot, ID 83221-0869

Phone

(208) 785-0310

Fax

(208) 785-0319

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Simpson Dental Offices

  • General Practice Dentistry
  • Blackfoot, ID
  • NPI 1952436883
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730240102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 PARKWAY DR",
            "address_2": "PO BOX 869",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832210869",
            "telephone_number": "208-785-0310",
            "fax_number": "208-785-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 PARKWAY DRIVE",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832210869",
            "telephone_number": "208-785-0310",
            "fax_number": "208-785-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "TROY",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "43890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INS",
            "identifier": "162787",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "663733",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaunna Shortes, FNP C
• Simpson Chiropractic PLLC (Simpson Chiropractic)
• Simpson Dental Offices
• Charles Gordon Simpson, DDS
• Preston Oliver Simpson, DC
• Smiles 4 Kids Blackfoot PLLC (Smiles 4 Kids)
• Bo Robert Smith
• Dekker Smith, PT, DPT
• Lucas Smith
• Scott Delane Smith, D.C.

• General Practice Dentistry in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• General Practice Dentistry in Idaho

• 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.