Active NPI
TTPD PLLC
- Pediatric Dentistry
- New Braunfels, TX
National Provider Identifier
1154865731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 31452
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.