Active NPI
Trevor Franklin Simmonds, D.D.S.
- Periodontics
- New York, NY
National Provider Identifier
1457493587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 17714
- Practice address
- 423 East 23Rd St.
Manhattan V.a., Dental Dept.
New York, NY 10010 - Phone
- (212) 951-3255
- Fax
- (212) 951-3378
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 17714 | NJ | Primary |
Addresses
Primary practice location
423 East 23Rd St.
Manhattan V.a., Dental Dept.
New York, NY 10010
Mailing address
423 East 23Rd St.
Manhattan V.a., Dental Dept.
New York, NY 10010
Phone (212) 951-3255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17714 | NJ | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1457493587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 EAST 23RD ST.",
"address_2": "MANHATTAN V.A., DENTAL DEPT.",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-951-3255",
"fax_number": "212-951-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 EAST 23RD ST.",
"address_2": "MANHATTAN V.A., DENTAL DEPT.",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-951-3255",
"fax_number": "212-951-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONDS",
"first_name": "TREVOR",
"middle_name": "FRANKLIN",
"name_prefix": "Mr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "17714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.