John W Simmons IV, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9659 Issued in GA

Practice address

2381 Main St E Ste B
Snellville, GA 30078-3358

Phone

(770) 985-2437

Fax

(770) 817-2400

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285707596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 MAIN ST E STE B",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783358",
            "telephone_number": "770-985-2437",
            "fax_number": "770-817-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 MAIN ST E STE B",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783358",
            "telephone_number": "770-985-2437",
            "fax_number": "770-817-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS IV",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sillah Group Homes
• Marco Silva, DPT
• Arthur Burton Silver, D.D.S.
• Silverpath Healthcare Solutions, LLC
• Kelsey Simmonds, RBT
• Dominique Nicole Simmons, DPT
• Shirley Agapito Simms, DPT
• Beena V Simon
• Chanee Ashley Simpson, LPC
• Christina Simpson, MLS

• General Practice Dentistry in Snellville, GA
• Providers in Snellville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.