Organization Active NPI

Chad Simmons, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1447468897
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L8958 Issued in TX
Legal business name
CHAD SIMMONS, M.D., P.A.
Practice address
12890 Hillcrest Rd
Suite 203
Dallas, TX 75230-1504
Phone
(972) 239-2777
Fax
(972) 239-2778
NPI assigned
May 18, 2007
Last updated
Jul 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Donald Chad S Simmons, MDNPI 1427051416
Title
President
Phone
(972) 239-2777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L8958 TX Primary

Addresses

Primary practice location

12890 Hillcrest Rd
Suite 203
Dallas, TX 75230-1504

Mailing address

12890 Hillcrest Rd
Suite 203
Dallas, TX 75230-1504
Phone (972) 239-2777

Other identifiers 1

IdentifierTypeStateIssuer
168022501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040813000884 TX Part B Supplier - Clinic/Group Practice 6002889565 Receives reassigned benefits from 5 practitioners
Practice locations: Dallas, TX; Duncanville, TX

National Provider Directory

National Provider Directory

Locations

221 W Colorado Blvd
Ste 160
Dallas, TX 75208
Phone (214) 941-2583

8111 LBJ
Ste 400
Dallas, TX 75251
Phone (469) 206-4770

8160 Walnut Hill Ln
Ste 230
Dallas, TX 75231
Phone (214) 361-1199

630 W Wheatland Rd
Duncanville, TX 75116
Phone (972) 239-2777

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAFJAA

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1447468897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12890 HILLCREST RD",
            "address_2": "SUITE 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301504",
            "telephone_number": "972-239-2777",
            "fax_number": "972-239-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12890 HILLCREST RD",
            "address_2": "SUITE 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301504",
            "telephone_number": "972-239-2777",
            "fax_number": "972-239-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD SIMMONS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "CHAD S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-239-2777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L8958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168022501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.