Paul Steven Simmons, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Practice address

5902 W 35TH St
Cicero, IL 60804-4162

Phone

(708) 780-0440

Fax

(708) 780-0441

NPI assigned

Jul 28, 2005

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1457351629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5902 W 35TH ST",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044162",
            "telephone_number": "708-780-0440",
            "fax_number": "708-780-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 W 35TH ST",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044162",
            "telephone_number": "708-780-0440",
            "fax_number": "708-780-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "PAUL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetrie Sezibera, PHARMD.
• Preeti A Shivakumar, D.D.S.
• Silva Dental Center LTD
• Berta M Silva, D.D.S.
• Patricia Lynn Simmons, D.D.S.
• Carrie D Slaymaker, M.A. CCC-SLP
• Sherrilynn Smith, MSN, APRN, FNP-C
• Naseen Renee Soldana
• Amee Soni, D.D.S.
• Alejandro Soto, PTA

• Periodontics in Cicero, IL
• Providers in Cicero, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.