William Simon, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19018557 Issued in IL

Practice address

3800 N Pulaski Rd
Chicago, IL 60641-3139

Phone

(773) 663-3800

Fax

(773) 663-3146

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

Yes

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 IL

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

State licenses

Practice roles

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.

• Simon and Simon, P.C.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1285773945
  NPD (past) Authorized official
• Kinnery Patel, DDS, LTD.

  • Dentist
  • Chicago, IL
  • NPI 1275498172
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619029519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413139",
            "telephone_number": "773-663-3800",
            "fax_number": "773-663-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413139",
            "telephone_number": "773-663-3800",
            "fax_number": "773-663-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19018557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Simon
• Richard Cody Simon, MD
• Saskya Simon, PA-C
• Shira Simon, MM, LPMT, MT-BC
• Shira Sivan Simon, M.D., M.B.A.
• Simona Bommarito LCSW PC
• Madeline Barbara Simone, MD
• Richard Simone
• Ann Marie Simonelli, APN/CNP
• Jon Simonelli, M.D.

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• 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.
• 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.