Van R Simmons DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

194581 Issued in MS

Legal business name

VAN R SIMMONS DMD PA

Practice address

304 Clarke Ave
McComb, MS 39648

Phone

(601) 684-6532

Fax

(601) 684-6431

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Van R Simmons, DMDNPI 1184064321

Title

Dentist

Phone

(601) 684-6532

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Van Robert Simmons, DMD

  • General Practice Dentistry
  • McComb, MS
  • NPI 1184064321
  NPD (past) Authorized official

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609955251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 885",
            "address_2": "304 CLARKE AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "39648",
            "telephone_number": "601-684-6532",
            "fax_number": "601-684-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 CLARKE AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "39648",
            "telephone_number": "601-684-6532",
            "fax_number": "601-684-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN R SIMMONS DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "601-684-6532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "194581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00064894",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie J Turner, DMD
• Vinencia J Turner, MSW
• Unlimited Companion Care LLC
• Sonya Carol Upton, RD, LD
• Aarti Vadalia, MD
• Diane Van, DNP, FNP
• Tresea Vangilder
• Robert Vanuden, MD
• Frank Varino Jr.
• Callie Ann Venable, M.S. CCC-SLP

• General Practice Dentistry in McComb, MS
• Providers in McComb, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.