Organization Active NPI

Michael S and Pamela Simmons

Doing business as Encino Center for Sleep & TMJ Disorders

  • Customized Equipment (DME)
  • Encino, CA
National Provider Identifier
1972866267
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
229916 Issued in CA
Legal business name
MICHAEL S AND PAMELA SIMMONS
Doing business as
Encino Center for Sleep & TMJ Disorders
Practice address
16500 Ventura Blvd Ste 370
Encino, CA 91436-2049
Phone
(818) 300-0070
Fax
(818) 300-0060
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Authorized official

Name
Dr. Michael Scott Simmons, DMD
Title
Owner/Dentist
Phone
(818) 300-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 229916 CA Primary

Addresses

Primary practice location

16500 Ventura Blvd Ste 370
Encino, CA 91436-2049

Mailing address

16500 Ventura Blvd Ste 370
Encino, CA 91436-2049
Phone (818) 300-0070

Other names 1

  • Encino Center for Sleep & TMJ Disorders Doing business as

National Provider Directory

National Provider Directory

Locations

16500 Ventura Blvd
Ste 370
Encino, CA 91436
Phone (818) 300-0070

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1972866267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD STE 370",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362049",
            "telephone_number": "818-300-0070",
            "fax_number": "818-300-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD STE 370",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362049",
            "telephone_number": "818-300-0070",
            "fax_number": "818-300-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S AND PAMELA SIMMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "818-300-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "229916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encino Center for Sleep & TMJ Disorders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.