DR. JEFFREY JAMES SIMMONS (NPI# 1275586950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275586950 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY JAMES SIMMONS |
| Credential | DMD MD |
| Practice Address |
10 Enterprise Blvd Suite 209 Greenville SC 29615-6301 |
| Practice Telephone | 8642348811 |
| Practice Fax Number | 8642348844 |
| Mailing Telephone | 8642348811 |
| Mailing Fax Number | 8642348844 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2009-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
4150 | SC | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4150 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZX4150 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831546118 | Jeffrey Lynn Simmons | Optometrist | 1919 E Brighton Ridge Dr, Salt Lake City, UT 84121-4886 | 2016-05-17 |
| 1780734079 | Jeffrey L Simmons | Audiologist | 425 N 30th St, Omaha, NE 68131-2100 | 2007-01-11 |
| 1144287038 | Jeffrey Wayne Simmons | Anesthesiology | 804 Jefferson Tower, 619 South 19th Street, Birmingham, AL 35249-6810 | 2006-04-26 |
| 1992274757 | Jeffrey Robert Simmons | Counselor | 2325 Weymouth Dr, Baton Rouge, LA 70809-1481 | 2018-11-21 |
| 1598231003 | Jeffrey Simmons | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-10-23 |
| 1841712130 | Jeffrey Michael Simmons | Student in an Organized Health Care Education/Training Program | 545 Laurel St, San Diego, CA 92101-1634 | 2017-07-09 |
| 1528288800 | Jeffrey M Simmons | Pediatrics | 3333 Burnet Avenue, Ml 5021, Cincinnati, OH 45229-3039 | 2007-04-27 |
| 1508919382 | Jeffrey Scott Simmons | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy Ste 570, Austin, TX 78705-1024 | 2007-01-18 |
| 1861458168 | Jeffrey Dean Simmons | Internal Medicine | 5643 Nw 29th St, Margate, FL 33063-1531 | 2006-04-25 |
| 1851354781 | Jeffrey Law Simmons | Psychiatry & Neurology | 1 Enterprise Dr, Blue Cross Blue Shield of Massachu, Quincy, MA 02171-2126 | 2006-04-11 |
| Street Address |
10 ENTERPRISE BLVD SUITE 209 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285261 | James Caesar Mensone | Family Medicine | 10 Enterprise Blvd, Ste 112, Greenville, SC 29615-3534 | 2005-06-21 |
| 1023557485 | Cooke's Continence Center | Clinic/Center | 10 Enterprise Blvd, Suite 107, Greenville, SC 29615 | 2017-02-18 |
| 1275071235 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 10 Enterprise Blvd, Suite 206, Greenville, SC 29615-6301 | 2017-02-09 |
| 1922542547 | Vitality Medical Centers of Greenville, Inc. | Durable Medical Equipment & Medical Supplies | 10 Enterprise Blvd, Suite 209, Greenville, SC 29615-6301 | 2016-12-16 |
| 1720420474 | Michelle Sproat | Nurse Practitioner | 10 Enterprise Blvd, Ste 202, Greenville, SC 29615-3554 | 2013-07-23 |
| 1649534363 | J. N. 'nikki' Hooks | Orthotist | 10 Enterprise Blvd, Suite 206, Greenville, SC 29615-6301 | 2012-06-27 |
| 1003180662 | Asheville Orthotic Prosthetic Center Inc. | Prosthetic/Orthotic Supplier | 10 Enterprise Blvd, Suite 206, Greenville, SC 29615-6301 | 2012-02-29 |
| 1275807174 | Brian Kaluf | Prosthetist | 10 Enterprise Blvd, Suite 206, Greenville, SC 29615-6301 | 2012-02-24 |
| 1568767606 | St Francis Physician Services Inc | Otolaryngology | 10 Enterprise Blvd, Ste. 201, Greenville, SC 29615-6301 | 2011-01-21 |
| 1073744124 | Oral Surgery & Implant Associates of Greenville, LLC | Dentist | 10 Enterprise Blvd, Suite 209, Greenville, SC 29615-6301 | 2009-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427464460 | Emerson G Crawford Jr. | Dentist | 1851 Macgregor Downs Rd # Ms 701, Ecu School of Dental Medicine, Greenville, NC 27834-5925 | 2014-07-10 |
| 1285838078 | Brian Russell Cherry | Dentist | 225 Halton Rd Ste B, Greenville, SC 29607-3499 | 2007-06-13 |
| 1821152430 | Charles Robert Means Jr. | Dentist | 410 Spring Forest Drive, Greenville, NC 27834-7244 | 2006-12-20 |
| 1912003468 | James C Wilson | Dentist | 3929 S Highway 14, Greenville, SC 29615-6138 | 2006-09-15 |
| 1346225422 | Ryland Tyrone Traynham | Dentist | 2 Pointe Cir, Greenville, SC 29615-3506 | 2005-12-12 |
| 1548252844 | R Anthony Murray | Dentist | 1805 W Arlington Blvd, Suite C, Greenville, NC 27834-5740 | 2005-08-22 |
| 1366444085 | Theodore Gabriel Muchiteni | Dentist | 2300 Hemby Ln, Greenville, NC 27834-3775 | 2005-08-12 |
| 1962401422 | Bart David Williams IIi | Dentist | 39 Brendan Way, Greenville, SC 29615-3514 | 2005-07-18 |
| 1700491685 | Ccofs Oral Surgery 2 LLC | Dentist | 4103 E North St, Greenville, SC 29615-2350 | 2020-09-09 |
| 1306401948 | Carolinas Center for Dental Implants | Dentist | 280 Rocky Slope Rd, Greenville, SC 29607-3908 | 2019-05-09 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.