NICKLIS C SIMPSON (NPI# 1043218373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043218373 |
| Entity Type | Individual |
| Full Name | NICKLIS C SIMPSON |
| Credential | DMD |
| Practice Address |
6645 Gleneden Beach Loop Gleneden Beach OR 97388-9700 |
| Mailing Address |
Po Box 86 6645 Gleneden Beach Loop Gleneden Beach OR 97388-0086 |
| Practice Telephone | 5417643850 |
| Practice Fax Number | 5417643852 |
| Mailing Telephone | 5417643850 |
| Mailing Fax Number | 5417643852 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4556 | OR | Dental Providers |
| Street Address |
6645 GLENEDEN BEACH LOOP |
| City | GLENEDEN BEACH |
| State | OR |
| Zip Code | 97388-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558983569 | Anita Lyn Peterson | Massage Therapist | 6645 Gleneden Beach Loop, Gleneden Beach, OR 97388-9700 | 2020-05-13 |
| 1528413291 | Beachside Family Dentistry | Dentist | 6645 Gleneden Beach Loop, Gleneden Beach, OR 97388-9700 | 2016-04-29 |
| 1275701880 | Marcie Howard | Massage Therapist | 6645 Gleneden Beach Loop, Gleneden Beach, OR 97388-9700 | 2008-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902068901 | Nancy Leah Resnikoff | Marriage & Family Therapist | 7760 Highway 101 N, Gleneden Beach, OR 97388 | 2008-06-30 |
| 1487832150 | Fran Diane Ferder | Psychologist | 7755 Hwy 101 Suite A2a, Gleneden Beach, OR 97388 | 2008-02-05 |
| 1528268034 | Dean Robins Wentworth | Nurse Practitioner | 6645 Gleneden Beach Loop Ste 1152, Gleneden Beach, OR 97388 | 2007-07-23 |
| 1235473554 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 95 Laurel St, Gleneden Beach, OR 97388 | 2012-11-27 |
| 1508873779 | Vinod K Vinjamuri Md LLC | Internal Medicine | 6615 Gleneden Beach Loop, Gleneden Beach, OR 97388 | 2006-08-01 |
| 1841213246 | Nazmul Hoque Md LLC | Internal Medicine | 6615 Gleneden Beach Loop, Gleneden Beach, OR 97388 | 2006-07-26 |
| 1366659526 | Kathleen Diane Rich | Psychologist | 7755 Hwy 101, Market Place At Salishan Suite 1a1, Gleneden Beach, OR 97388-0244 | 2007-05-17 |
| 1720089345 | Vinod K Vinjamuri | Internal Medicine | 6615 Gleneden Beach Loop, Gleneden Beach, OR 97388-9700 | 2005-08-04 |
| 1427693340 | Sara Vanwinkle | Doula | 6905 Gleneden Beach Loop, 30b, Gleneden Beach, OR 97388-9738 | 2019-11-14 |
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486438 | Jane Jeeyoon Kim | Dentist | 14425 Sw Allen Blvd # 1, Beaverton, OR 97005-4402 | 2020-10-30 |
| 1780283556 | Ziyad Amir Kadir | Dentist | 300 Tatone St, Boardman, OR 97818-7900 | 2020-10-22 |
| 1295333912 | John Andrew Fawcett | Dentist | 214 Jersey St, Silverton, OR 97381-1627 | 2020-10-14 |
| 1629685920 | Alexandroff Dmd PC | Dentist | 1085 E Harbor Drive, Warrenton, OR 97146 | 2020-09-30 |
| 1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
| 1235742198 | Geoffrey Houf | Dentist | 5880 Ne Cornell Rd Ste D, Hillsboro, OR 97124-9075 | 2020-08-28 |
| 1124631650 | Sugandha Gupta | Dentist | 2561 Nw 167th Ave, Beaverton, OR 97006-7643 | 2020-08-25 |
| 1609489137 | Open Door Dental Group PC | Dentist | 1710 E Pine St Ste A, Central Point, OR 97502-2811 | 2020-08-25 |
| 1720698566 | Travis Alcorn | Dentist | 2750 Kingwood St, Florence, OR 97439-9556 | 2020-08-06 |
| 1811506322 | Ruiwei Liang | Dentist | 547 Se 73rd Ave, Hillsboro, OR 97123-6199 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | GLENEDEN BEACH |
| Zip Code | 97388 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.