Individual provider Active NPI

Philip Benson Simms, D.M.D

  • Dentist
  • Clanton, AL
National Provider Identifier
1679615744
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2422 Issued in AL
Practice address
405 2ND Ave N
Clanton, AL 35045-3412
Phone
(205) 755-1960
Fax
(205) 755-1960
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2422 AL Primary

Addresses

Primary practice location

405 2ND Ave N
Clanton, AL 35045-3412

Mailing address

405 2ND Ave N
Clanton, AL 35045-3412
Phone (205) 755-1960

Other names 1

  • Dr. Phil B. Simms Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20161006002042 AL Order and Referring Only - DentistPractitioner - Dentist 6103114129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2422ALMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679615744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 2ND AVE N",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350453412",
            "telephone_number": "205-755-1960",
            "fax_number": "205-755-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 2ND AVE N",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350453412",
            "telephone_number": "205-755-1960",
            "fax_number": "205-755-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "PHILIP",
        "middle_name": "BENSON",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "2422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHIL",
            "last_name": "SIMMS",
            "middle_name": "B.",
            "prefix": "DR.",
            "credential": "D.M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Clanton, AL

Sources for this page

Verify at the official NPI Registry.