Organization Active NPI

Craig B. Simmons DDS PLLC

Doing business as Holistic Dental Center

  • Dentist
  • Spokane, WA
National Provider Identifier
1730594052
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00009553 Issued in WA
Legal business name
CRAIG B. SIMMONS DDS PLLC
Doing business as
Holistic Dental Center
Practice address
731 W Indiana Ave
Spokane, WA 99205-4627
Phone
(509) 838-2836
NPI assigned
Jun 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Craig B Simmons, DDS
Title
Dentist/Owner
Phone
(509) 325-2051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 00009553 WA Primary

Addresses

Primary practice location

731 W Indiana Ave
Spokane, WA 99205-4627

Mailing address

731 W Indiana Ave
Spokane, WA 99205-4627
Phone (509) 838-2836

Other names 1

  • Holistic Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

731 W Indiana Ave
Spokane, WA 99205
Phone (509) 325-2051

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1730594052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 W INDIANA AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992054627",
            "telephone_number": "509-838-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 W INDIANA AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992054627",
            "telephone_number": "509-838-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG B. SIMMONS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "509-325-2051",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "00009553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.