Ronny Michael Simmons, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3204 Issued in LA

Practice address

12TH Ads/SGGD
221 3Rd Street West, BLDG 1040
Randolph Afb, TX 78150-4801

Phone

(210) 652-1846

Fax

(210) 652-1368

NPI assigned

Apr 24, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629034277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3139 RUSTIC OAK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612211",
            "telephone_number": "830-980-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12TH ADS/SGGD",
            "address_2": "221 3RD STREET WEST, BLDG 1040",
            "city": "RANDOLPH AFB",
            "state": "TX",
            "postal_code": "781504801",
            "telephone_number": "210-652-1846",
            "fax_number": "210-652-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "RONNY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Prater
• Manoj Ravi, MD
• Rocio Fabiola Rodriguez, LCSW
• Jay M Rossell, DMD
• San Antonio Vamc
• Theresa B. Sparkman, M.D.
• Lisa Annette Ware, FNP
• Jason Wheeler, PT
• Jay Zemeheret, LCSW

• General Practice Dentistry in Randolph Afb, TX
• Providers in Randolph Afb, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.