NPIMap

Organization Active NPI

E. Wayne Simmons, D.M.D., Prosthodontist, PC

  • Prosthodontics
  • San Antonio, TX
National Provider Identifier
1164540795
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
22075 Issued in TX
Legal business name
E. WAYNE SIMMONS, D.M.D., PROSTHODONTIST, PC
Practice address
2020 Babcock Rd
Suite 24
San Antonio, TX 78229-4443
Phone
(210) 692-0136
Fax
(210) 692-0139
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. E. Wayne Simmons, D.M.D.NPI 1508983107
Title
President
Phone
(210) 692-0136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0700X 10836 TX
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0700X 1864 SC
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0700X 22075 TX Primary

Addresses

Primary practice location

2020 Babcock Rd
Suite 24
San Antonio, TX 78229-4443

Mailing address

2020 Babcock Rd
Box 25
San Antonio, TX 78229-4443
Phone (210) 692-0136

National Provider Directory

National Provider Directory

Locations

2020 Babcock Rd
Ste 24
San Antonio, TX 78229
Phone (210) 692-0136

2020 Babcock Rd
Ste 25
San Antonio, TX 78229

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164540795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BABCOCK RD",
            "address_2": "BOX 25",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294443",
            "telephone_number": "210-692-0136",
            "fax_number": "210-692-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 BABCOCK RD",
            "address_2": "SUITE 24",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294443",
            "telephone_number": "210-692-0136",
            "fax_number": "210-692-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. WAYNE SIMMONS, D.M.D., PROSTHODONTIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "E.",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-692-0136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "10836",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "SC",
            "license": "1864",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "22075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.