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DR. SAMANTHA JO SIMON D.D.S.
NPI 1881067700
Dentist in Saint Louis, MO

Active since November 02, 2015PECOS Enrolled
2820 LEMAY FERRY RD, SAINT LOUIS, MO 63125(303) 604-2804 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samantha Jo Simon D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA JO SIMON D.D.S. (NPI 1881067700) is an individual dentist in Saint Louis, Missouri, licensed in Missouri (2024040277) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881067700
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SAMANTHA JO SIMONCredential: D.D.S.
Location Address2820 LEMAY FERRY RDSaint Louis, MO 63125-3918
Mailing Address2820 Lemay Ferry RdSaint Louis, MO 63125-3918 · (303) 604-2804
Phone(303) 604-2804
Sole ProprietorNo
Enumeration DateNovember 2, 2015
Last NPPES UpdateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
✔ NPI 1881067700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in MO · 2024040277✔ Licensed in CO · DEN202695✔ Licensed in TN · 12632
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2820 LEMAY FERRY RD, Saint Louis, MO 63125
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samantha Jo Simon D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HILAL OZEN CAKIR DMD
Dentist
2820 LEMAY FERRY RD
SAINT LOUIS, MO 63125
St. Louis County (314) 487-0799

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Simon's NPI number?

The NPI number for Samantha Simon is 1881067700. It was assigned to this individual provider in the NPPES registry on November 2, 2015.

Where is Samantha Simon located?

Samantha Simon practices at 2820 Lemay Ferry Rd, Saint Louis, MO 63125. The listed phone number is (303) 604-2804.

What is Samantha Simon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Samantha Simon enrolled in Medicare?

Yes. Samantha Simon is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Simon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Samantha Simon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Simon was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.