Stefan John Simoncic, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7546 Issued in NC

Practice address

2017 Eastchester Dr
Suite 101
High Point, NC 27265-1559

Phone

(919) 986-2385

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 Jul 29, 2013 through Jul 29, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Simoncic DDS PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • High Point, NC
  • NPI 1699116111
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1780780767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 EASTCHESTER DR",
            "address_2": "SUITE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651559",
            "telephone_number": "919-986-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 EASTCHESTER DR",
            "address_2": "SUITE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651559",
            "telephone_number": "919-986-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONCIC",
        "first_name": "STEFAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "7546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sianis, RPH
• Kevin Ronald Sidden, LPC
• Karen Hughes Sikes
• Edwin Silva Zapata, M.D.
• Simoncic DDS PLLC
• Cynthia Bowling Simpson, LCSW
• Katelynne Poole Simpson, PA-C
• Nancy Costanzo Simpson, RD LDN
• Vikas Singh, MMS, DMD
• Single Solution Support Services LLC

• Oral and Maxillofacial Surgery (Dentist) in High Point, NC
• Providers in High Point, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.