Justin Daniel Simmons, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2142 Issued in MT

Practice address

710 N 1St St
Hamilton, MT 59840-2134

Phone

(406) 375-1192

Fax

(406) 375-1193

NPI assigned

May 21, 2007

Sex

Male

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 MT

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

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.

• Canyon View Dental PC

  • Dental Hygienist
  • Hamilton, MT
  • NPI 1538383591
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1902014921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N 1ST ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402134",
            "telephone_number": "406-375-1192",
            "fax_number": "406-375-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N 1ST ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402134",
            "telephone_number": "406-375-1192",
            "fax_number": "406-375-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JUSTIN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "2142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul E Shingledecker, M.D.
• Blythe Siebenaller, LCSW, LAC
• Peter F Silcher, DDS
• Winnie D Silva-Jeffries, SWLC
• Jeff Simmerman, PT
• Sirena Rising Recovery and Wellness LLC
• Aleta L. Sisson, LCPC
• Nicole Sisson, PTA
• Gary L Smith, M.D.
• Holly Joyce Lynn Smith, OTR/L

• Dentist in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.