Simba Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SIMBA DENTAL, LLC

Practice address

9606 Coldwater Rd
Fort Wayne, IN 46825-2023

Phone

(260) 918-7110

NPI assigned

Apr 24, 2024

Organization subpart

No

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

Authorized official

Name

Rachel Combs

Title

Practice Coordinator/Office Manager

Phone

(260) 918-7110

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1760238497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9606 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252023",
            "telephone_number": "260-918-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9606 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252023",
            "telephone_number": "260-918-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMBA DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PRACTICE COORDINATOR/OFFICE MANAGER",
        "authorized_official_telephone_number": "260-918-7110"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caylin Alexandra Sievers
• Michael Sievers, R.PH.
• Lyndi Sills
• Amy Silvers, MSW
• Sierra Silvers, LMT
• Emily Simerman
• Dusan Simic
• Daniel J Simmonds, M.D.
• Samuel Ray Simmons, O.D.
• Tia Simon

• Dentist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.