Individual provider Active NPI

Stephanie Culver Simmons, DMD

  • Dentist
  • Opelika, AL
National Provider Identifier
1821318007
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D.0005755-C1 Issued in AL
Practice address
2520 Interstate Dr
Opelika, AL 36801-1535
Phone
(334) 737-6261
Fax
(334) 460-9765
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D.0005755-C1 AL Primary

Addresses

Primary practice location

2520 Interstate Dr
Opelika, AL 36801-1535

Mailing address

2520 Interstate Dr
Opelika, AL 36801-1535
Phone (334) 737-6261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150710000425 AL Order and Referring Only - DentistPractitioner - Dentist 5991017568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D.0005755-C1ALMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1821318007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 INTERSTATE DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368011535",
            "telephone_number": "334-737-6261",
            "fax_number": "334-460-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 INTERSTATE DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368011535",
            "telephone_number": "334-737-6261",
            "fax_number": "334-460-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "STEPHANIE",
        "middle_name": "CULVER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D.0005755-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.