Organization Active NPI

Simon & Simon DDS

  • Dentist
  • Kenmore, NY
National Provider Identifier
1891874525
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20083 Issued in NY
Legal business name
SIMON & SIMON DDS
Doing business as
Herbert Simon DDS and Carol Simon DDS partners
Practice address
2840 Delaware Avenue
2ND Floor
Kenmore, NY 14217
Phone
(716) 875-4295
Fax
(716) 876-8237
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carol Ann Simon, DDS
Title
Dentist Partner
Phone
(716) 875-4295

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 20083 NY Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 041811 NY

Addresses

Primary practice location

2840 Delaware Avenue
2ND Floor
Kenmore, NY 14217

Mailing address

2840 Delaware Avenue
2ND Floor
Kenmore, NY 14217
Phone (716) 875-4295

Other names 1

  • Herbert Simon DDS and Carol Simon DDS partners Doing business as

National Provider Directory

National Provider Directory

Locations

2840 Delaware Ave
Ste 2
Kenmore, NY 14217
Phone (716) 875-4295

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891874525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 DELAWARE AVENUE",
            "address_2": "2ND FLOOR",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "14217",
            "telephone_number": "716-875-4295",
            "fax_number": "716-876-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 DELAWARE AVENUE",
            "address_2": "2ND FLOOR",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "14217",
            "telephone_number": "716-875-4295",
            "fax_number": "716-876-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON & SIMON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DENTIST PARTNER",
        "authorized_official_telephone_number": "716-875-4295",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "20083",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "041811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herbert Simon DDS and Carol Simon DDS partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.