Fred H Simmons Jr

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12006984 Issued in IN

Legal business name

FRED H SIMMONS JR

Practice address

3404 S 7TH St
Terre Haute, IN 47802-4017

Phone

(812) 232-1138

NPI assigned

Feb 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Fred H Simmons Jr., D.D.S.,M.S.D.NPI 1932112299

Title

Owner

Phone

(812) 232-1138

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Fred H Simmons Jr., D.D.S.,M.S.D.

  • Pediatric Dentistry
  • Terre Haute, IN
  • NPI 1932112299
  NPD (past) Authorized official

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1356663025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024017",
            "telephone_number": "812-232-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024017",
            "telephone_number": "812-232-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED H SIMMONS JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-232-1138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S.,M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12006984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100250180A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Kay Francis, M.S., CCC-SLP
• Kacey Franklin
• Kayla Franklin, RBT
• Benjamin Bradford Fraser, ATC, LAT, CSCS
• Dylan Shelby Frazier
• Laura L Fredendall, PSY.D.
• Beth Frederick
• Kylie Fredrikson
• Alexis Freeman, RBT
• Kara Jordan Freeman, PA-C

• Pediatric Dentistry in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.