Organization Active NPI

Jeremy Simmons, PLLC

Doing business as Nova Family Dental

  • Dentist
  • Forest Hill, TX
National Provider Identifier
1700201225
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JEREMY SIMMONS, PLLC
Doing business as
Nova Family Dental
Practice address
6738 Forest Hill Dr
Forest Hill, TX 76140-1210
Phone
(281) 989-0979
NPI assigned
Feb 20, 2014
Last updated
Feb 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Authorized official

Name
Jeremy Simmons, D.D.S.NPI 1013202498
Title
Owner
Phone
(281) 989-0979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

6738 Forest Hill Dr
Forest Hill, TX 76140-1210

Mailing address

6738 Forest Hill Dr
Forest Hill, TX 76140-1210
Phone (281) 989-0979

Other names 1

  • Nova Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6738 Forest Hill Dr
Forest Hill, TX 76140
Phone (281) 989-0979

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1700201225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6738 FOREST HILL DR",
            "city": "FOREST HILL",
            "state": "TX",
            "postal_code": "761401210",
            "telephone_number": "281-989-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6738 FOREST HILL DR",
            "city": "FOREST HILL",
            "state": "TX",
            "postal_code": "761401210",
            "telephone_number": "281-989-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY SIMMONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-989-0979",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.