C Ross Simonds DDS PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00008443 Issued in WA

Legal business name

C ROSS SIMONDS DDS PS

Doing business as

Liberty Lake Dental Care

Practice address

23403 E Mission Ave
Suite C
Liberty Lake, WA 99019-7553

Phone

(509) 893-1119

NPI assigned

Oct 4, 2006

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. C Ross Simonds, DDS

Title

President

Phone

(509) 893-1119

Specialties & licenses 1

Addresses

Other names 1

• Liberty Lake Dental Care Doing business as

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982790630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23403 E MISSION AVE",
            "address_2": "SUITE C",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197553",
            "telephone_number": "509-893-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23403 E MISSION AVE",
            "address_2": "SUITE C",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197553",
            "telephone_number": "509-893-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C ROSS SIMONDS DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMONDS",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-893-1119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Lake Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig Broom
• Adam Steven Brown, PHYSICAL THERAPIST
• Catherine Louise Kuhn Brown, PHD
• Rachel Rebecca Burgess, RN
• Brock Anthony Butler, DC
• Lawrence Richard Callaway, DC
• Leisa Leanore Campana, MS, CCC-SLP
• Sean Patrick Campbell
• Cathi Denee Cardon, OT
• Elizabeth Joy Carlson, BA

• General Practice Dentistry in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• General Practice Dentistry in Washington

• 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.