Organization Active NPI

Craig B. Simmons DDS PLLC

  • Dentist
  • Spokane, WA
National Provider Identifier
1972918449
Registry record updated Jun 24, 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
Practice address
9506 N Newport Hwy
Suite B
Spokane, WA 99218-1219
Phone
(509) 838-2836
NPI assigned
Jun 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 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
Owner/Dentist
Phone
(509) 838-2836

Specialties & licenses 1

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

Addresses

Primary practice location

9506 N Newport Hwy
Suite B
Spokane, WA 99218-1219

Mailing address

9506 N Newport Hwy
Suite B
Spokane, WA 99218-1219
Phone (509) 838-2836

Other names 1

  • Spokane Dentures and Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

9506 N Newport Hwy
#B
Spokane, WA 99218
Phone (509) 838-2836

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1972918449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9506 N NEWPORT HWY",
            "address_2": "SUITE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181219",
            "telephone_number": "509-838-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9506 N NEWPORT HWY",
            "address_2": "SUITE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181219",
            "telephone_number": "509-838-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG B. SIMMONS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "509-838-2836",
        "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": "Spokane Dentures and Dentistry",
            "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 24, 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.