Individual provider Active NPI

Stephanie Elam Simmonett, DMD

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1033604152
Registry record updated Jul 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN1001866 Issued in DC
Practice address
2112 F St NW Ste 603
Washington, DC 20037-2762
Phone
(202) 466-4530
NPI assigned
Jul 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN1001866 DC Primary

Addresses

Primary practice location

2112 F St NW Ste 603
Washington, DC 20037-2762

Mailing address

2250 Clarendon Blvd Apt 520
Arlington, VA 22201-3334
Phone (706) 399-3831

Other names 1

  • Miss Stephanie Marie Elam Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN1001866DCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Siranli & Associates, PLLC General Practice PastSince Apr 10, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530403200000",
    "number": "1033604152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 CLARENDON BLVD APT 520",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013334",
            "telephone_number": "706-399-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW STE 603",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372762",
            "telephone_number": "202-466-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONETT",
        "first_name": "STEPHANIE",
        "middle_name": "ELAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-01",
        "last_updated": "2018-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1001866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ELAM",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2018; 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.