NPIMap

Organization Active NPI

Trevor Simmonds, DDS, P.C.

  • Periodontics
  • East Orange, NJ
National Provider Identifier
1376758946
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
17714 Issued in NJ
Legal business name
TREVOR SIMMONDS, DDS, P.C.
Practice address
185 Central Ave # 503
East Orange, NJ 07018-3332
Phone
(973) 676-9018
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Trevor Franklin Simmonds, DDS
Title
President
Phone
(973) 676-9018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 17714 NJ Primary

Addresses

Primary practice location

185 Central Ave # 503
East Orange, NJ 07018-3332

Mailing address

185 Central Ave # 503
East Orange, NJ 07018-3332
Phone (973) 676-9018

National Provider Directory

National Provider Directory

Locations

185 Central Ave
Ste 503
East Orange, NJ 07018
Phone (973) 676-9018

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376758946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CENTRAL AVE # 503",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183332",
            "telephone_number": "973-676-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CENTRAL AVE # 503",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183332",
            "telephone_number": "973-676-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVOR SIMMONDS, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONDS",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-676-9018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "17714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

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.

Verify at the official NPI Registry.