Simply Kidz Dental, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SIMPLY KIDZ DENTAL, PLLC

Practice address

4865 Hedgcoxe Rd
Ste 100
Plano, TX 75024-2406

Phone

(214) 705-2888

NPI assigned

Dec 19, 2013

Organization subpart

No

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

Authorized official

Name

Phil Kim

Title

Owner

Phone

(214) 705-2888

Specialties & licenses 1

Addresses

Other names 1

• Simply Kidz Dental Doing business as

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1508287459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4865 HEDGCOXE RD",
            "address_2": "STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242406",
            "telephone_number": "214-705-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 HEDGCOXE RD",
            "address_2": "STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242406",
            "telephone_number": "214-705-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY KIDZ DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-705-2888"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Kidz Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Akisha Simon, LPC
• Jordan Ciarra Simon, FNP-C
• Michellee Noellee Simon, FNP-BC
• Lauren Simpkins, AUD
• Simply Good Dental, P.L.L.C.
• Simpson Management Group of Texas, LLC
• Claire Simpson, SLP
• Dyshea Simpson
• Eric Scott Sims, PA-C
• Fadzayi P Simukayi

• Pediatric Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.