James K. Simons, D.D.S. and Associates

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9122 Issued in TX

Legal business name

JAMES K. SIMONS, D.D.S. AND ASSOCIATES

Practice address

2700 S 1St St
Austin, TX 78704-5421

Phone

(512) 442-4338

Fax

(512) 442-6074

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

James Kirk Simons, D.D.S.

Title

Owner

Phone

(512) 442-4338

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Children's Dental Clinic Doing business as

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1376619502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S 1ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045421",
            "telephone_number": "512-442-4338",
            "fax_number": "512-442-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S 1ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045421",
            "telephone_number": "512-442-4338",
            "fax_number": "512-442-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES K. SIMONS, D.D.S. AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-442-4338",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "9122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151451501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP GROUP IDENTIFIER",
            "identifier": "G60054",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FORTIS FACILITY IDENTIFIE",
            "identifier": "0013142",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roh-Allah Jalil
• Jana Jamail, CNS
• Fariba Jamali
• James a. Black, M.D.
• James Boysen, M.D., PA
• James M Hageman MD PA
• James McKinney, D.O., P.a.
• James R Eskew MD PLLC
• James R. Harrison, PHD, PA
• James W Wright DC PA

• Pediatric Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.