Active NPI
Simmons & Price Management Group, LLC
- Dentist
- Houston, TX
National Provider Identifier
1225239932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SIMMONS & PRICE MANAGEMENT GROUP, LLC
- Doing business as
- Lupe's Wonderful Smiles
- Practice address
- 8410 Fondren Road
Houston, TX 77074-2215 - Phone
- (713) 272-8200
- Fax
- (713) 272-8201
- NPI assigned
- May 30, 2007
- 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
- Mr. Wesley Evan Simmons
- Title
- General Partner
- Phone
- (713) 272-8200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
8410 Fondren Road
Houston, TX 77074-2215
Mailing address
8410 Fondren Rd
Houston, TX 77074-5616
Phone (713) 272-8200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189780301 | Medicaid | TX | |
| 184701401 | Medicaid | TX |
Other names 1
- Lupe's Wonderful Smiles
National Provider Directory
National Provider DirectoryLocations
8410 Fondren Rd
Houston, TX 77074
Phone (713) 271-6567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299369600000",
"number": "1225239932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8410 FONDREN RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770745616",
"telephone_number": "713-272-8200",
"fax_number": "713-272-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8410 FONDREN ROAD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770742215",
"telephone_number": "713-272-8200",
"fax_number": "713-272-8201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMMONS & PRICE MANAGEMENT GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-30",
"last_updated": "2011-03-06",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "WESLEY",
"authorized_official_middle_name": "EVAN",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "713-272-8200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189780301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184701401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lupe's Wonderful Smiles",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.