Daniel Rhett Simmons, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3360-05 Issued in MS

Practice address

8747 Northwest Dr
Southaven, MS 38671-2409

Phone

(662) 393-0781

Fax

(662) 342-0750

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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)

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.

• Dental Professionals of Mississippi, P.C.

  • General Practice Dentistry
  • Southaven, MS
  • NPI 1518791292
  NPD (past)
• Main Street Dental

  • Dentist
  • Southaven, MS
  • NPI 1043557085
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861412975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8747 NORTHWEST DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386712409",
            "telephone_number": "662-393-0781",
            "fax_number": "662-342-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8747 NORTHWEST DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386712409",
            "telephone_number": "662-393-0781",
            "fax_number": "662-342-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "DANIEL",
        "middle_name": "RHETT",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3360-05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00060134",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Ivan Shwer, D.P.M.
• Sidhu Pediatrics, LLC
• Desh Deepak Sidhu, MD
• Savira Virk Sidhu, MD
• Megan Sigler
• Simple Strokes Behavioral and Mental Health Group Inc
• Simple Strokes Therapy
• Simple Strokestherapy Consultants, PA
• Cody Allen Simpson, SFA
• Tavleen a Singh, MD

• General Practice Dentistry in Southaven, MS
• Providers in Southaven, MS by specialty
• General Practice Dentistry in Mississippi

• 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.