Miguel Angel Simancas-Pallares, DDS, MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

151268 Issued in NC

Practice address

228 Brauer Hall CB#7450
Chapel Hill, NC 27599-0001

Phone

(919) 579-4983

NPI assigned

Feb 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Interoperability endpoints

• Direct secure messaging: psimancaspallares583146@direct.unc.nchie.net

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1457982852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 ESTES DRIVE EXT APT J12",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 BRAUER HALL CB#7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-579-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMANCAS-PALLARES",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "151268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "151268",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://myapps.unch.unc.edu/vpn/index.html",
            "affiliation": "N",
            "address_1": "228 Brauer Hall Cb#7450",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275990001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julia Silverman, MD
• Robert S Silvers II, CRNA
• Marlee Hannah Silverstein, MD
• Rachel Gina Silverstein
• Chien Joo Sim, DDS
• Daren Joshua Simkin, MD
• Brianna Simmons
• Chelsea Simmons, FNP-BC
• Sam Simmons, MD, MBA
• Sabrina Rose Simon, M.S., CCC-SLP

• Pediatric Dentistry in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.