Kelvin Allex Simmons, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30558 Issued in TX

Practice address

206 Stone Gate Dr
New Braunfels, TX 78130-2486

Phone

(830) 625-6410

NPI assigned

Aug 30, 2013

Sex

Male

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

Enrolled in TX

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.

• Kelvin a. Simmons DDS PLLC

  • Dental Clinic/Center
  • New Braunfels, TX
  • NPI 1225806631
  NPD Authorized official

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1922432566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 CYPRESS ML",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302028",
            "telephone_number": "832-331-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 STONE GATE DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302486",
            "telephone_number": "830-625-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "KELVIN",
        "middle_name": "ALLEX",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-30",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Siegel
• Siete Leguas LLC
• Sigma Pharmacy LLC
• Mary Siller, NURSE LVN
• Karla Maria Silva
• Travis Carlisle Simmons, MD
• Nisarat Singchawala-Meyer, PSYD
• Jennifer Nicole Singel, NP
• Jasbir Singh, M.D.
• Michael Richard Singleton, PA-C

• General Practice Dentistry in New Braunfels, TX
• Providers in New Braunfels, 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 Sep 18, 2020; 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.