Peter John Simone, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

042382 Issued in NY

Practice address

14 N Chatsworth Ave
Larchmont, NY 10538-2142

Phone

(914) 834-4047

Fax

(914) 834-6511

NPI assigned

Dec 12, 2007

Last updated

Dec 12, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

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

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1588847644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N CHATSWORTH AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382142",
            "telephone_number": "914-834-4047",
            "fax_number": "914-834-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N CHATSWORTH AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382142",
            "telephone_number": "914-834-4047",
            "fax_number": "914-834-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "042382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M Siegel, DPT
• Pamela Sue Silverman, MD
• Jeffrey Eric Simon, D.D.S.
• Robert M Simon, MD
• James Joseph Simone, DDS
• Sathuu Sivakumaran
• Elina Skripochnik, DPT
• Jennifer Slyper
• Herbert S. Smith, D.M.D.
• Yesenia Y Solorzano, LMT

• Prosthodontics in Larchmont, NY
• Providers in Larchmont, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.