Active NPI
Richard Wright Simpson V, DMD
- General Practice Dentistry
- North Augusta, SC
National Provider Identifier
1760712376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7109
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150715002598 | VA | Order and Referring Only - Dentist | 7416260732 | |
| I20150715002608 | SC | Order and Referring Only - Dentist | 7416260732 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7109 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- North Augusta, SC
- NPI 1871743682
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.