Glenn R Simmons, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30293 Issued in CA

Practice address

1801 Solar Dr
Suite 140
Oxnard, CA 93030-8234

Phone

(805) 604-7695

Fax

(805) 604-9097

NPI assigned

Aug 30, 2007

Last updated

Aug 30, 2007By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vista Pacific Dental Care

  • General Practice Dentistry
  • Oxnard, CA
  • NPI 1346470952
  NPD (past)

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1104010321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SOLAR DR",
            "address_2": "SUITE 140",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308234",
            "telephone_number": "805-604-7695",
            "fax_number": "805-604-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SOLAR DR",
            "address_2": "SUITE 140",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308234",
            "telephone_number": "805-604-7695",
            "fax_number": "805-604-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "GLENN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "30293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virgilina Marta Silva
• Amanda Erin Silverman
• Paul D Silverman, MD
• Emily Sim, PA-C
• Cindy L Simental, LMFT
• Karen Simon, M.D.
• Yazmin Zavala Simon
• Michael Arthur Singer
• Harpreet K Singh, MD
• Indarjit Singh, M.D.

• Dentist in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.