Active NPI
Mark Simeone, D.M.D.
- General Practice Dentistry
- Chalfont, PA
National Provider Identifier
1346310620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS035396
- Practice address
- 1500 Horizon Dr
104
Chalfont, PA 18914-3966 - Phone
- (215) 997-9980
- Fax
- (215) 646-6166
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS035396 | PA | Primary |
Addresses
Primary practice location
1500 Horizon Dr
104
Chalfont, PA 18914-3966
Mailing address
401 Commerce Dr
Suite 108
Ft Washington, PA 19034-2714
Phone (267) 464-4254
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101218380 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS035396 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Plus Family Dental Care P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Chalfont, PA
- NPI 1093881963
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360886400000",
"number": "1346310620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 COMMERCE DR",
"address_2": "SUITE 108",
"city": "FT WASHINGTON",
"state": "PA",
"postal_code": "190342714",
"telephone_number": "267-464-4254",
"fax_number": "215-646-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 HORIZON DR",
"address_2": "104",
"city": "CHALFONT",
"state": "PA",
"postal_code": "189143966",
"telephone_number": "215-997-9980",
"fax_number": "215-646-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMEONE",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2013-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS035396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101218380",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chalfont, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.