Svetlana Simonovich, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27953 Issued in TX

Practice address

14207 Coit Rd
Suite 12
Dallas, TX 75254-2700

Phone

(972) 490-1600

Fax

(972) 490-1620

NPI assigned

Jul 6, 2012

Last updated

Jul 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 11, 2016 through May 11, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spring Valley Crossing Dental, P.a.

  dba Bear Creek Family Dentistry

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1497908784
  NPD (past)

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1912262841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 MCCLARY ST",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14207 COIT RD",
            "address_2": "SUITE 12",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542700",
            "telephone_number": "972-490-1600",
            "fax_number": "972-490-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONOVICH",
        "first_name": "SVETLANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Simon, DPM
• Stuart Ben Simon, MD
• Thomas Clark Simon Jr., ATP,CRTS
• Victoria Ann Simon
• Walter Simon, M.D.
• Cynthia Ann Simons, M.A., LPC
• Whitney Simons
• Gregory O Simonsen, PH.D.
• Robert B Simonson, DO
• Charles Thomas Simonton, M.D.

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.