Betty Jo Simas

Primary specialty

DentistTaxonomy code 122300000X

License

3019 Issued in SC

Practice address

1274 Ribaut Rd
Beaufort, SC 29902-6187

Phone

(856) 455-4095

NPI assigned

Dec 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mariana C Elwell DDS Fagd PC

  • General Practice Dentistry
  • Bridgeton, NJ
  • NPI 1306322086
  NPD (past)

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1992989099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026187",
            "telephone_number": "856-455-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMAS",
        "first_name": "BETTY JO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3019",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DIO18179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Shytle
• Mark Samuel Siegel, M.D.
• Louis C. Sigmund II, DDS
• Rebecca Siira
• Sheila Silon
• Debra Simmons
• George Simmons, MD
• Jeremy Michael Simmons, PHARMD
• Vondalyn W Simmons, MA
• Lori Simon, LISW

• Dentist in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.