Active NPI
Kenneth Michael Simckes, D.M.D.
- Pediatric Dentistry
- Monsey, NY
National Provider Identifier
1891783031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 042997
- Practice address
- 2 Tauber Ter
Monsey, NY 10952-1645 - Phone
- (845) 354-1441
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 042997 | NY | Primary |
Addresses
Primary practice location
2 Tauber Ter
Monsey, NY 10952-1645
Mailing address
2 Tauber Ter
Monsey, NY 10952-1645
Phone (845) 354-1441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01422619 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042997 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Kenneth M. Simckes DMD PC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Monsey, NY
- NPI 1780990184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1891783031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TAUBER TER",
"city": "MONSEY",
"state": "NY",
"postal_code": "109521645",
"telephone_number": "845-354-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TAUBER TER",
"city": "MONSEY",
"state": "NY",
"postal_code": "109521645",
"telephone_number": "845-354-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMCKES",
"first_name": "KENNETH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "042997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01422619",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.