NPIMap

Organization Active NPI

Thomas a Simmons DDS Mary Anne Simmons DDS, PC

Doing business as Port Sanilac Dental Care

  • General Practice Dentistry
  • Port Sanilac, MI
National Provider Identifier
1043298433
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901012153 Issued in MI
Legal business name
THOMAS A SIMMONS DDS MARY ANNE SIMMONS DDS, PC
Doing business as
Port Sanilac Dental Care
Practice address
245 S Ridge St
Port Sanilac, MI 48469-9704
Phone
(810) 622-8230
NPI assigned
Jan 5, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Thomas Alan Simmons, DDSNPI 1295713691
Title
President
Phone
(810) 622-8230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901012153 MI Primary

Addresses

Primary practice location

245 S Ridge St
Port Sanilac, MI 48469-9704

Mailing address

245 S Ridge St
Port Sanilac, MI 48469-9704

Other names 1

  • Port Sanilac Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1043298433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S RIDGE ST",
            "city": "PORT SANILAC",
            "state": "MI",
            "postal_code": "484699704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S RIDGE ST",
            "city": "PORT SANILAC",
            "state": "MI",
            "postal_code": "484699704",
            "telephone_number": "810-622-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A SIMMONS DDS MARY ANNE SIMMONS DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-622-8230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Sanilac Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Sanilac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.