Individual provider Active NPI

Richard Wright Simpson V, DMD

  • General Practice Dentistry
  • North Augusta, SC
National Provider Identifier
1760712376
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7109 Issued in SC
Practice address
1810 Knox Ave Ste a
North Augusta, SC 29841-2903
Phone
(803) 279-0015
NPI assigned
Jan 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7109 SC Primary

Addresses

Primary practice location

1810 Knox Ave Ste a
North Augusta, SC 29841-2903

Mailing address

305 Bellhaven Dr
Evans, GA 30809-7468
Phone (912) 486-0009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150715002598 VA Order and Referring Only - DentistPractitioner - Dentist 7416260732
I20150715002608 SC Order and Referring Only - DentistPractitioner - Dentist 7416260732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7109SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dentistry General Practice Past 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": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1760712376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BELLHAVEN DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308097468",
            "telephone_number": "912-486-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 KNOX AVE STE A",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298412903",
            "telephone_number": "803-279-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "RICHARD",
        "middle_name": "WRIGHT",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "7109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

Verify at the official NPI Registry.