Jack Semmens, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

18407 Issued in CA

Practice address

495 North Lake Blvd - 96145
Ste 270
Tahoe City, CA 96145-1912

Phone

(530) 583-5546

Fax

(530) 583-3559

NPI assigned

Mar 5, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jack L. Semmens DDS Dental Corporation

  • Dentist
  • Tahoe City, CA
  • NPI 1134430325
  NPD (past) Authorized official
• Jack L. Semmens DDS Dental Corporation

  • Dentist
  • Tahoe City, CA
  • NPI 1558672956
  NPD (past) Authorized official

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1073906756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1912",
            "city": "TAHOE CITY",
            "state": "CA",
            "postal_code": "961451912",
            "telephone_number": "530-583-5546",
            "fax_number": "530-583-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 NORTH LAKE BLVD - 96145",
            "address_2": "STE 270",
            "city": "TAHOE CITY",
            "state": "CA",
            "postal_code": "961451912",
            "telephone_number": "530-583-5546",
            "fax_number": "530-583-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMMENS",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "18407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley M Schimmer, ND
• Martha Daniels Schoonmaker, P.T.
• Katy Schousen, MD
• Timothy Glenn Schroeder, D.C.
• Danielle Segal
• Austin Sherman, LMFT
• Megan E Ganong Shirley, PA-C, MPA
• Sierra Mental Wellness Group
• Mark Harrison Spohr, M.D.
• Lisa Stekert, LCSW

• Dentist in Tahoe City, CA
• Providers in Tahoe City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.