Organization Active NPI

Kelvin a. Simmons, DDS, P.a.

  • Dentist
  • New Braunfels, TX
National Provider Identifier
1942576780
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KELVIN A. SIMMONS, DDS, P.A.
Practice address
614 S Walnut Ave
New Braunfels, TX 78130-5723
Phone
(337) 478-0531
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Dr. Kelvin A Simmons, DDS
Title
Practice Owner
Phone
(830) 606-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

614 S Walnut Ave
New Braunfels, TX 78130-5723

Mailing address

614 S Walnut Ave
New Braunfels, TX 78130-5723
Phone (337) 478-0531

National Provider Directory

National Provider Directory

Locations

614 S Walnut Ave
New Braunfels, TX 78130
Phone (337) 478-0531

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1942576780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 S WALNUT AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305723",
            "telephone_number": "337-478-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 S WALNUT AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305723",
            "telephone_number": "337-478-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELVIN A. SIMMONS, DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "830-606-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.