Active NPI
Robert Simmons Jr DDS PC
- Dentist
- Hinesville, GA
National Provider Identifier
1356499776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN009886
- Legal business name
- ROBERT SIMMONS JR DDS PC
- Practice address
- 101 E General Stewart Way
Hinesville, GA 31313 - Phone
- (912) 368-3333
- Fax
- (912) 368-6009
- NPI assigned
- Jan 8, 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
- Dr. Robert Simmons Jr., DDS
- Title
- Dentist Ceo
- Phone
- (912) 368-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN009886 | GA | Primary |
Addresses
Primary practice location
101 E General Stewart Way
Hinesville, GA 31313
Mailing address
101 E General Stewart Way
Hinesville, GA 31313
Phone (912) 368-3333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00278935B | Medicaid | GA | |
| 629771 | Other | GA | UNITED CONCORDIA |
National Provider Directory
National Provider DirectoryLocations
101 E General Stewart Way
Hinesville, GA 31313
Phone (912) 368-3333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Hinesville, GA
- NPI 1518122522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356499776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E GENERAL STEWART WAY",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "31313",
"telephone_number": "912-368-3333",
"fax_number": "912-368-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E GENERAL STEWART WAY",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "31313",
"telephone_number": "912-368-3333",
"fax_number": "912-368-6009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT SIMMONS JR DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "DENTIST CEO",
"authorized_official_telephone_number": "912-368-3333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "GA",
"license": "DN009886",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00278935B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "629771",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.