Organization Active NPI

TTPD PLLC

  • Pediatric Dentistry
  • New Braunfels, TX
National Provider Identifier
1154865731
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
31452 Issued in TX
Legal business name
TTPD PLLC
Practice address
2163 Stephens PL
Suite 106
New Braunfels, TX 78130-2168
Phone
(713) 299-3979
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Dr. Jaime Simmons, DDS
Title
Owner
Phone
(713) 299-3979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 31452 TX Primary

Addresses

Primary practice location

2163 Stephens PL
Suite 106
New Braunfels, TX 78130-2168

Mailing address

2163 Stephens PL
Suite 106
New Braunfels, TX 78130-2168

Other names 1

  • Texas Tykes Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2163 Stephens Pl
Ste 106
New Braunfels, TX 78130
Phone (713) 299-3979

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1154865731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2163 STEPHENS PL",
            "address_2": "SUITE 106",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2163 STEPHENS PL",
            "address_2": "SUITE 106",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302168",
            "telephone_number": "713-299-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TTPD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-299-3979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "31452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Tykes Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.