Organization Active NPI

Dane D Simons MD PA

  • Family Medicine Physician
  • Bay City, TX
National Provider Identifier
1174705784
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J2334 Issued in TX
Legal business name
DANE D SIMONS MD PA
Practice address
1120 Avenue G
Bay City, TX 77414-3541
Phone
(979) 245-5721
Fax
(979) 245-1482
NPI assigned
Dec 5, 2007
Last updated
Dec 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dane D Simons, MDNPI 1609876283
Title
Owner
Phone
(979) 245-5721

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J2334 TX Primary

Addresses

Primary practice location

1120 Avenue G
Bay City, TX 77414-3541

Mailing address

1120 Avenue G
Bay City, TX 77414-3541
Phone (979) 245-5721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050420000258 TX Part B Supplier - Clinic/Group Practice 8921046053 Receives reassigned benefits from 5 practitioners
Practice locations: Bay City, TX; Palacios, TX

National Provider Directory

National Provider Directory

Locations

1414 4th St
Palacios, TX 77465
Phone (361) 972-2542

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1174705784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 AVENUE G",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143541",
            "telephone_number": "979-245-5721",
            "fax_number": "979-245-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 AVENUE G",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143541",
            "telephone_number": "979-245-5721",
            "fax_number": "979-245-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANE D SIMONS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "DANE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-245-5721",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J2334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.