Active NPI
Michael Simmons, D.M.D
- General Practice Dentistry
- Encino, CA
National Provider Identifier
1457571184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29916
- Practice address
- 16500 Ventura Blvd
Encino, CA 91436-2011 - Phone
- (818) 300-0070
- Fax
- (818) 300-0060
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 29916 | CA | Primary |
Addresses
Primary practice location
16500 Ventura Blvd
Encino, CA 91436-2011
Mailing address
18386 Ventura Blvd
Tarzana, CA 91356-4219
Phone (818) 300-0070
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simmons Dental Corporation | Current | Accepting new patients |
Locations
16500 Ventura Blvd
Ste 370
Encino, CA 91436
Phone (818) 300-0070
18386 Ventura Blvd
Tarzana, CA 91356
Phone (818) 300-0070
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Customized Equipment (DME)
- Tarzana, CA
- NPI 1457769747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1457571184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18386 VENTURA BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564219",
"telephone_number": "818-300-0070",
"fax_number": "818-300-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16500 VENTURA BLVD",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362011",
"telephone_number": "818-300-0070",
"fax_number": "818-300-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "29916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.