Clarence E Simmons, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

015874 Issued in MO

Practice address

3500 NE Ralph Powell Rd Ste B
Lees Summit, MO 64064-2378

Phone

(816) 317-0130

Fax

(816) 873-1099

NPI assigned

Nov 6, 2006

Last updated

Nov 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthodontics, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lee's Summit, MO
  • NPI 1699920470
  Authorized official Same address or phone
• Scott V. Law, D.M.D. Missouri, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kansas City, MO
  • NPI 1629567607
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1427127489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 NE RALPH POWELL RD STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642378",
            "telephone_number": "816-317-0130",
            "fax_number": "816-873-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 NE RALPH POWELL RD STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642378",
            "telephone_number": "816-317-0130",
            "fax_number": "816-873-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CLARENCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2022-11-01",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "015874",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "015874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Siemsen, APRN
• Brecken N Sigg, PA, ATC
• Signature Medical Group of KC, PA
• Signature Medical Group of KC, PA
• Caitlin Silverstein, DDS
• Linda Lea Simmons, PSYD
• Kristine K. Simms, PTA
• George Simon, PLPC
• Amanda Renee Simonds, D.C.
• Storm Marie Simons

• Orthodontics and Dentofacial Orthopedics Dentistry in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.