Erica Simon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6359 Issued in LA

Practice address

10552 S Glenstone PL
Baton Rouge, LA 70810-2875

Phone

(225) 767-6400

Fax

(225) 768-9912

NPI assigned

May 20, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

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.

• Dr. Holly Clark, LLC

  dba Glenstone Dental

  • Dentist
  • Baton Rouge, LA
  • NPI 1083374748
  NPD (past)
• Gastinel and Nash, P.L.L.C.

  dba Glenstone Dental

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1881779064
  NPD (past)

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1881030641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10552 S GLENSTONE PL",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102875",
            "telephone_number": "225-767-6400",
            "fax_number": "225-768-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10552 S GLENSTONE PL",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102875",
            "telephone_number": "225-767-6400",
            "fax_number": "225-768-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "ERICA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryna Simon
• Connor Simon, NP
• Darica Simon
• Darrius Ray Simon
• Denis E Simon III, DDS
• Heaven Simon
• Isabella Simon, BEHHEALTH SPECIALIST
• Jeana Simon, LPN
• Lauren Bourgeois Simon, M.S., RD, LDN
• Lynn Simon, MD

• General Practice Dentistry in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.