Rutherford Birchard Hayes Simmons Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019023306 Issued in IL

Practice address

12 E 11TH St
Chicago, IL 60605-2303

Phone

(312) 431-0044

NPI assigned

Dec 30, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821154055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E 90TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197338",
            "telephone_number": "773-488-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 11TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052303",
            "telephone_number": "312-431-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "RUTHERFORD",
        "middle_name": "BIRCHARD HAYES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003751",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Michelle Simmons
• Kennisha C Simmons, LMT
• Lauren Ivy Simmons, MSN, APRN, PMHNP-BC
• Mallory Rochon Simmons, DNP
• Margaret Simmons, APRN
• Sabrina Simmons
• Sarah Jane Simmons, CNM
• Zina Marguerite Simmons, MSN
• Andrew Simms, M.D.
• Katie Harris Simms, MA, BCBA, LBA

• All providers in Chicago, IL
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.