JOHN CARL SIMKEVICH (NPI# 1093746539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093746539 |
Entity Type | Individual |
Full Name | JOHN CARL SIMKEVICH |
Credential | DMD |
Practice Address |
990 Main St East Greenwich RI 02818-3187 |
Practice Telephone | 4018858575 |
Practice Fax Number | 4018858577 |
Mailing Telephone | 4018858575 |
Mailing Fax Number | 4018858577 |
Enumeration Date | 2006-07-05 |
Last Update Date | 2008-02-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
1655 | RI | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | UNITED SENIOR-COV | 145482 | 01 |
RI | DELTA DENTAL-COV | 5001655 | 01 |
RI | BLUE CROSS-EG | 8442-0 | 01 |
RI | DELTA DENTAL -PAWT | 2001655 | 01 |
RI | AETNA HMO EG | 3068099 | 01 |
RI | UNITED HEALTH-EG | 8000056 | 01 |
RI | UNITED HEALTH SENIOR-PAWT | 145484 | 01 |
RI | AETNA HMO- COV | 3068101 | 01 |
RI | UNITED HEALTH-COV | 8000057 | 01 |
RI | BLUE CROSS-COV | 8447-5 | 01 |
RI | BLUE CHIP | 201298 | 01 |
RI | BLUE CROSS-PAWT | 8356-2 | 01 |
RI | AETNA | 5657159 | 01 |
RI | UNITED SENIOR-EG | 145483 | 01 |
RI | AETNA-HMO | 3068102 | 01 |
RI | DELTA DENTAL -EG | 4001655 | 01 |
RI | UNITED HEALTH-PAWT | 8000075 | 01 |
Street Address |
990 MAIN ST |
City | EAST GREENWICH |
State | RI |
Zip Code | 02818-3187 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750904488 | Hunter Minicucci | Physical Therapist | 990 Main St, East Greenwich, RI 02818-3182 | 2020-05-28 |
1366730327 | Geoffrey Visgilio | Acupuncturist | 990 Main St, East Greenwich, RI 02818-3182 | 2011-07-12 |
1417021031 | John S. Kacewicz | Dentist | 990 Main St, East Greenwich, RI 02818-3187 | 2006-11-17 |
1700811585 | Francis A Connor Jr. | Dentist | 990 Main St, East Greenwich, RI 02818-3187 | 2006-07-11 |
1386679090 | Steven A Brown | Dentist | 990 Main St, East Greenwich, RI 02818-3187 | 2006-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447875489 | Connor Michael Hagerty | Dentist | 61 Cedar Ave, #5, East Greenwich, RI 02818 | 2020-06-16 |
1467086777 | Kimberly Olson | Social Worker | 4372 Post Road, East Greenwich, RI 02818 | 2020-02-25 |
1154977106 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 1000 Division Road, Suite 100, East Greenwich, RI 02818 | 2019-08-15 |
1184270464 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 5805 Post Road, Unit 1, East Greenwich, RI 02818 | 2019-08-13 |
1003390428 | Liana Marie Waybright | Dietitian, Registered | East Greenwich Specialty Clinic, 1454 South County Trail, East Greenwich, RI 02818 | 2018-09-21 |
1053805614 | Danielle Moreau | Physical Therapist | 5750 Post Rd Ste 2a, East Greenwich, RI 02818 | 2018-06-18 |
1508385345 | Rhode Island Limb Co Inc | Physical Therapist | 63 Cedar Ave Unit 12, East Greenwich, RI 02818 | 2017-09-13 |
1407202963 | Doris Major Howie | Registered Nurse | 4512 Post Rd., East Greenwich, RI 02818 | 2016-05-13 |
1851648760 | Christi L Saurette | Social Worker | 3285 South County Trail, Suite 2b, East Greenwich, RI 02818 | 2012-08-09 |
1811257934 | Elizabeth Decker | Internal Medicine | 1407 S County Trl Ste 410, East Greenwich, RI 02818 | 2012-05-23 |
Find all providers in zip 02818 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700817384 | University Oral & Maxillofacial Surgery Ltd | Dentist | 1370 S County Trl, East Greenwich, RI 02818-1625 | 2006-07-05 |
1760473177 | John E Duhaime | Dentist | 5586 Post Rd, Ste 101, East Greenwich, RI 02818-3454 | 2005-11-03 |
1487995445 | Emery Leigh Nicholas | Dentist | 1370 S County Trl, East Greenwich, RI 02818-1625 | 2013-03-14 |
1306066071 | East Greenwich Oral Surgery, Ltd | Dentist | 5586 Post Rd, Suite 101, East Greenwich, RI 02818-3454 | 2007-04-26 |
1700811585 | Francis A Connor Jr. | Dentist | 990 Main St, East Greenwich, RI 02818-3187 | 2006-07-11 |
1386679090 | Steven A Brown | Dentist | 990 Main St, East Greenwich, RI 02818-3187 | 2006-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093889800 | Drs Aschaffenburg & English Jr Ltd | Dentist | 222 Jefferson Boulevard, Suite 301, Warwick, RI 02888-3855 | 2006-11-20 |
1942300678 | Albert E. Carlotti Jr. | Dentist | 915 Oaklawn Ave, Cranston, RI 02920-2638 | 2006-09-23 |
1306942867 | Ri Dental Surgery & Implants, Ltd. | Dentist | 468 Smithfield Rd, North Providence, RI 02904-4238 | 2006-09-15 |
1356359046 | Joel H Harrison | Dentist | 230 Airport Rd, Warwick, RI 02889-1039 | 2006-08-04 |
1730193277 | Stephen T. Skoly Jr. | Dentist | 30 Chapel View Blvd., Suite 240, Cranston, RI 02920 | 2006-07-28 |
1285692731 | East Bay Oral Surgery | Dentist | 2224 Pawtucket Avenue, East Providence, RI 02914 | 2006-05-03 |
1578538088 | Steven H. Young | Dentist | 1414 Atwood Ave, Suite 340, Johnston, RI 02919-4839 | 2006-02-18 |
1245203793 | Luis Francisco Rosario | Dentist | 1173 Whipple Road, Branch Dental Clinic Newport, Newport, RI 02841 | 2006-02-07 |
1518939388 | Martin T Elson | Dentist | 1265 Reservoir Ave, Cranston, RI 02920-6060 | 2006-02-06 |
1588649644 | Brian P Hogan | Dentist | 65 W Main Rd, Middletown, RI 02842-4933 | 2005-12-13 |
Find all providers with the same taxonomy |
City | EAST GREENWICH |
Zip Code | 02818 |
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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.