David D Simmons, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

17237 Issued in TX

Practice address

302 N 3Rd St
Mabank, TX 75147-8611

Phone

(903) 887-4405

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

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.

• Clayton a Gautreaux D.D.S

  • General Practice Dentistry
  • Mabank, TX
  • NPI 1043549603
  NPD (past)
• Mabank Family Dentistry PLLC

  • General Practice Dentistry
  • Mabank, TX
  • NPI 1033772447
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 27, 2019 through Feb 27, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2016.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1629145172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 LAKESHORE DR",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757666641",
            "telephone_number": "903-586-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N 3RD ST",
            "city": "MABANK",
            "state": "TX",
            "postal_code": "751478611",
            "telephone_number": "903-887-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "DAVID",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "17237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Reyes
• Pamela Gail Rowell, LPC
• Jason B Sapp, NP
• Lori Jean Rochelle Schreiber Gautreaux, DC
• Lori Kaye Shaw, LVN
• Adrienne Janette Smith
• Stephens Memorial Hospital District
• Suzannah Strickhausen
• Sharon Strickland
• Ana Isabella Taboada

• All providers in Mabank, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.