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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Michael Simckes, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Pediatric Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dentistry
- Monsey, NY
- NPI 1891783031
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.