Troy W. Simmons DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11363 Issued in TX

Legal business name

TROY W. SIMMONS DDS PC

Practice address

503 N 6TH St
Longview, TX 75601-6604

Phone

(903) 753-7685

Fax

(903) 753-7686

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Troy Wayne Simmons, DDSNPI 1831403807

Title

President

Phone

(903) 753-7685

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Troy Wayne Simmons, D.D.S.

  • General Practice Dentistry
  • Longview, TX
  • NPI 1831403807
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1992899652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N 6TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016604",
            "telephone_number": "903-753-7685",
            "fax_number": "903-753-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N 6TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016604",
            "telephone_number": "903-753-7685",
            "fax_number": "903-753-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY W. SIMMONS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-753-7685",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00000FE67",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0910150-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis L Kendall DDS PLLC
• Allison McKnight Travis, MS, LPC
• Christopher Michael Travis, OTR
• Maria Trejo
• Mayra Trejo, LPC
• Joane Truly
• TSD Kendall & Gengel PLLC
• Britney S Tucker
• Crystal Gaile Tucker
• Judy K Tucker, APN

• General Practice Dentistry in Longview, TX
• Providers in Longview, 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 Feb 17, 2009; 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.