Organization Active NPI

Jessica T Simon DMD, PLLC

Doing business as Pure Hearts Pediatric Dentistry

  • Pediatric Dentistry
  • Charlotte, NC
National Provider Identifier
1629862347
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JESSICA T SIMON DMD, PLLC
Doing business as
Pure Hearts Pediatric Dentistry
Practice address
13515 Steele Creek Rd Ste 213
Charlotte, NC 28273-6839
Phone
(704) 336-0558
NPI assigned
Apr 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Dr. Jessica Tatiana Simon, D.M.DNPI 1972920676
Title
Board Certified Pediatric Dentist
Phone
(917) 204-6756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

13515 Steele Creek Rd Ste 213
Charlotte, NC 28273-6839

Mailing address

13515 Steele Creek Rd Ste 213
Charlotte, NC 28273-6839

Other names 1

  • Pure Hearts Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

13515 Steele Creek Rd
Ste 213
Charlotte, NC 28273
Phone (704) 336-0558

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1629862347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13515 STEELE CREEK RD STE 213",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13515 STEELE CREEK RD STE 213",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736839",
            "telephone_number": "704-336-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA T SIMON DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "TATIANA",
        "authorized_official_title_or_position": "BOARD CERTIFIED PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "917-204-6756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Hearts Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.