Zackery Simons DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ZACKERY SIMONS DDS PLLC

Practice address

3800 Southpark Dr
Tyler, TX 75703-1713

Phone

(903) 581-8882

NPI assigned

Sep 26, 2025

Last updated

Sep 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zackery SimonsNPI 1255993986

Title

Dentist

Phone

(903) 315-6515

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Zackery Ryan Simons

  • General Practice Dentistry
  • Tyler, TX
  • NPI 1255993986
  NPD (past) Authorized official
• Bryan Sendelbach, D.D.S.

  • Dentist
  • Tyler, TX
  • NPI 1356896229
  NPD (past)

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1144193939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SOUTHPARK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SOUTHPARK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031713",
            "telephone_number": "903-581-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACKERY SIMONS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "ZACKERY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "903-315-6515"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yusha Home Health Care Services LLC
• Yvonne Baum M.D., P.a.
• Zachary Herrin
• Delores Zachary
• William Zachry, MD
• Rabiah Zafar, D.O
• Saleem Zaidi, M.D.
• Anwar Zaman, M.D.
• Zana Elliot Enterprises LLC
• Tammy Zanter

• Dental Clinic/Center in Tyler, TX
• Providers in Tyler, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.