Kent B. Simmons DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3884 Issued in ID

Legal business name

KENT B. SIMMONS DDS, PLLC

Practice address

3318 4TH St
Lewiston, ID 83501-4405

Phone

(208) 746-3694

Fax

(208) 743-8313

NPI assigned

Oct 2, 2014

Organization subpart

No

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

Authorized official

Name

Kent B. Simmons, D.D.SNPI 1154315950

Title

Dentist

Phone

(208) 746-3694

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Kent B. Simmons, D.D.S.

  • General Practice Dentistry
  • Lewiston, ID
  • NPI 1154315950
  NPD (past) Authorized official
• Travis B Bartschi, DDS

  • General Practice Dentistry
  • Lewiston, ID
  • NPI 1184754988
  NPD (past)

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1326441411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 4TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014405",
            "telephone_number": "208-746-3694",
            "fax_number": "208-743-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 4TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014405",
            "telephone_number": "208-746-3694",
            "fax_number": "208-743-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT B. SIMMONS DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-746-3694",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Keeney
• Justin D Keller, D.C.
• Kelley Kids Ranch, LLC
• Jordan Kelley, LMSW
• David Kendrick, M.D.
• Lindsay R Kern, MD
• Stephen Ray Kessinger, DO
• Kenneth Kaline Kessler
• Edward Kim, MD
• Kindred Nursing Centers West, LLC

• General Practice Dentistry in Lewiston, ID
• Providers in Lewiston, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.