Phillip Alexander Simon, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

15493 Issued in FL

Practice address

1348 Timberlane Rd
Tallahassee, FL 32312-1766

Phone

(850) 878-5131

Fax

(850) 878-3521

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tallahassee Endodontics

  • Endodontics
  • Tallahassee, FL
  • NPI 1851938153
  NPD
• Edward a. Kotz, Jr., D.D.S., P.a.

  • Endodontics
  • Tallahassee, FL
  • NPI 1023118544
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1265590129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 CAPITAL CIR NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084421",
            "telephone_number": "850-878-5131",
            "fax_number": "850-878-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 TIMBERLANE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121766",
            "telephone_number": "850-878-5131",
            "fax_number": "850-878-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "PHILLIP",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "15493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayla Ann Simmons
• Joshua Randall Simmons, M.D.
• Kathryn Simmons, M.D.
• William P Simmons, M.D.
• Alexander Tyler Simon
• Allen Simpson, NCBTMB
• Amanda Jean Simpson, APRN FNP-BC
• Robert C. Simpson, PH. D. L.M.F.T.
• Cy Sims, PHARMD
• Meghan Michele Sims, SLP

• Endodontics in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.