Organization Active NPI

Dr Kenneth M. Simckes DMD PC

Doing business as Monsey Pediatric Dental Care Pediatric Dentistry of Monsey

  • Pediatric Dentistry
  • Monsey, NY
National Provider Identifier
1780990184
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DR KENNETH M. SIMCKES DMD PC
Doing business as
Monsey Pediatric Dental Care Pediatric Dentistry of Monsey
Practice address
2 Tauber Terrace
Monsey, NY 10952-1645
Phone
(845) 354-1441
Fax
(845) 362-4660
NPI assigned
Aug 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Kenneth Michael Simckes, DMDNPI 1891783031
Title
President
Phone
(845) 354-1441

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2 Tauber Terrace
Monsey, NY 10952-1645

Mailing address

2 Tauber Terrace
Monsey, NY 10952-1645
Phone (845) 354-1441

Other names 1

  • Monsey Pediatric Dental Care Pediatric Dentistry of Monsey Doing business as

National Provider Directory

National Provider Directory

Locations

2 Tauber Ter
Monsey, NY 10952
Phone (845) 216-8636

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": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1780990184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TAUBER TERRACE",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521645",
            "telephone_number": "845-354-1441",
            "fax_number": "845-362-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TAUBER TERRACE",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521645",
            "telephone_number": "845-354-1441",
            "fax_number": "845-362-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KENNETH M. SIMCKES DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "SIMCKES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-354-1441",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monsey Pediatric Dental Care Pediatric Dentistry of Monsey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monsey, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.