Simpson Dental Offices

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1394 Issued in ID

Legal business name

SIMPSON DENTAL OFFICES

Practice address

1180 Parkway Dr
Blackfoot, ID 83221-1651

Phone

(208) 785-0310

Fax

(208) 785-0319

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Gordon Simpson, DDSNPI 1194869990

Title

V President Dentist

Phone

(208) 785-0310

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Gordon Simpson, DDS

  • Dentist
  • Blackfoot, ID
  • NPI 1194869990
  NPD (past) Authorized official
• Troy Gordon Simpson, DDS

  • General Practice Dentistry
  • Blackfoot, ID
  • NPI 1730240102
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952436883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "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 DR",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211651",
            "telephone_number": "208-785-0310",
            "fax_number": "208-785-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPSON DENTAL OFFICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "V PRESIDENT  DENTIST",
        "authorized_official_telephone_number": "208-785-0310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "43890",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dean Woodrow Shandy, D.O.
• Vicki Shapiro, MD
• David Shelley, MD
• Shaunna Shortes, FNP C
• Simpson Chiropractic PLLC (Simpson Chiropractic)
• Charles Gordon Simpson, DDS
• Preston Oliver Simpson, DC
• Troy Gordon Simpson, DDS
• Smiles 4 Kids Blackfoot PLLC (Smiles 4 Kids)
• Bo Robert Smith

• 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 Aug 22, 2020; 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.