Duncanville Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DUNCANVILLE DENTAL PLLC

Practice address

5409 N Jim Miller Rd Ste 105
Dallas, TX 75227-1500

Phone

(214) 865-8319

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Cecilia Simmons, DDSNPI 1508144510

Title

Owner

Phone

(214) 865-8319

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cecilia Freeney Simmons, DDS

  • Dentist
  • Forest Hill, TX
  • NPI 1508144510
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1992323257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 PRAIRIE FLOWER TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752272803",
            "telephone_number": "214-298-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 N JIM MILLER RD STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752271500",
            "telephone_number": "214-865-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNCANVILLE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-865-8319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martina Duncan
• Meghann Duncan, FNP
• Nakia Aileen Duncan, PHARM.D.
• Shalonda Duncan
• Stephanie Duncan
• Duncanville Mental Health Services
• Duncanville Pain Partners, LLC
• Russell A Dunckley, PH.D.
• Jeff M. Duncum, D.D.S.
• Colleen Dundas

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, 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 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.