Organization Active NPI

Simmons Services LLC

Doing business as Dr. G Dental Studio

  • Dental Clinic/Center
  • Miami, FL
National Provider Identifier
1952916306
Registry record updated Sep 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SIMMONS SERVICES LLC
Doing business as
Dr. G Dental Studio
Practice address
2500 SW 107TH Ave Ste 45
Miami, FL 33165-2492
Phone
(305) 217-6453
NPI assigned
Sep 12, 2020
Last updated
Sep 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2020

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

Authorized official

Name
Shaun Simmons
Title
President
Phone
(412) 329-8366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

2500 SW 107TH Ave Ste 45
Miami, FL 33165-2492

Mailing address

2500 SW 107TH Ave Ste 45
Miami, FL 33165-2492
Phone (305) 217-6453

Other names 1

  • Dr. G Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

2500 SW 107th Ave
Ste 45
Miami, FL 33165
Phone (305) 217-6453

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599868800000",
    "number": "1952916306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SW 107TH AVE STE 45",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652492",
            "telephone_number": "305-217-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SW 107TH AVE STE 45",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652492",
            "telephone_number": "305-217-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMONS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-12",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-329-8366"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. G Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.