Individual provider Active NPI

E. Wayne Simmons, D.M.D.

  • Prosthodontics
  • San Antonio, TX
National Provider Identifier
1508983107
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
10836 Issued in TX
Practice address
2020 Babcock Rd
Suite 24
San Antonio, TX 78229-4443
Phone
(210) 692-0136
Fax
(210) 692-0139
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 10836 TX Primary
Prosthodontics 1223P0700X 1864 SC

Addresses

Primary practice location

2020 Babcock Rd
Suite 24
San Antonio, TX 78229-4443

Mailing address

2020 Babcock Rd
Box 25
San Antonio, TX 78229-4443
Phone (210) 692-0136

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

LicenseStateTypeSpecialty
10836TXMDChiropractor
1864SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
E. Wayne Simmons, D.M.D., Prosthodontist, PC Prosthodontics Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508983107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BABCOCK RD",
            "address_2": "BOX 25",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294443",
            "telephone_number": "210-692-0136",
            "fax_number": "210-692-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 BABCOCK RD",
            "address_2": "SUITE 24",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294443",
            "telephone_number": "210-692-0136",
            "fax_number": "210-692-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "E.",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "10836",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "SC",
            "license": "1864",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.