V. I. Periodontics, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

1019 Issued in VI

Legal business name

V. I. PERIODONTICS, LLC

Doing business as

trevor simmonds, dds, pc

Practice address

9149 Estate Thomas
Suite 201
Charlotte Amalie, VI 00802-2615

Phone

(340) 779-2009

NPI assigned

May 24, 2011

Last updated

May 24, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

TREVOR SIMMONDS, DDS, PCAs reported in NPPES

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

Authorized official

Name

Dr. Trevor Franklin Simmonds, D.D.S.

Title

President

Phone

(340) 779-2009

Specialties & licenses 1

Addresses

Other names 1

• trevor simmonds, dds, pc Doing business as

Part of

Trevor Simmonds DDS PC

Locations

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1649563677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 VALLEY ST",
            "address_2": "SUITE 100",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792835",
            "telephone_number": "973-761-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS",
            "address_2": "SUITE 201",
            "city": "CHARLOTTE AMALIE",
            "state": "VI",
            "postal_code": "008022615",
            "telephone_number": "340-779-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V. I. PERIODONTICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TREVOR SIMMONDS, DDS, PC",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "SIMMONDS",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "340-779-2009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VI",
            "license": "1019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "trevor simmonds, dds, pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan McComy
• Lucien Alanzo Moolenaar II, D.D.S.
• Nightingale Wings
• Joselito Posadas Rosal, M.D.
• Johnathon Russell Turner, RPA
• VI Hospital and Medical Supply Inc
• Kim Warrell
• Michael Werth, DDS

• Periodontics in Charlotte Amalie, VI
• Providers in Charlotte Amalie, VI by specialty
• Periodontics in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.