Jessica Simon, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10300 Issued in NC

Practice address

13515 Steele Creek Rd Ste 213
Charlotte, NC 28273-6839

Phone

(704) 336-0558

NPI assigned

Mar 20, 2014

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

Enrolled in NC

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

Locations

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.

• Jessica T Simon DMD, PLLC

  • Pediatric Dentistry
  • Charlotte, NC
  • NPI 1629862347
  NPD Authorized official

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1972920676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13515 STEELE CREEK RD STE 213",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736839",
            "telephone_number": "704-336-0558",
            "fax_number": "980-443-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13515 STEELE CREEK RD STE 213",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736839",
            "telephone_number": "704-336-0558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 Summit Crossing Pl",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542192",
            "country_code": "US",
            "telephone_number": "704-874-0377",
            "fax_number": "704-853-5455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "10300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Mulvina Simms
• Deborah Marie Simms, RPH
• Natisha Jeanene Simms, IBCLC
• Shaneekqua Gerraay Simms, NP
• Carla Jude Simon, MD
• Joseph Jordan Simon, D.O.
• Kaitlyn Simon
• Khalijah Simon
• Matthew Simon, MA, LMFT
• Peter Otto Simon Jr., MD

• Pediatric Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.