DR. ERVIN SIMMONS IV (NPI# 1366588501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366588501 |
| Entity Type | Individual |
| Full Name | DR. ERVIN SIMMONS IV |
| Credential | DMD |
| Practice Address |
12528 Lusher Rd St Louis MO 63138 |
| Practice Telephone | 3147414949 |
| Practice Fax Number | 3147414958 |
| Mailing Telephone | 3147414949 |
| Mailing Fax Number | 3147414958 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 13607 | MO | Dental Providers |
| Street Address |
12528 LUSHER RD |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856396 | D&n Services | Registered Nurse | 1891 Arrowpoint Dr, St Louis, MO 63138 | 2019-11-21 |
| 1902468747 | Sincere Home Health Services | Home Health | 1313 Columbus Dr., Saint Louis, MO 63138 | 2019-07-02 |
| 1053899153 | Nadiyah L Brandon | Driver | 1841 Arrow Point Dr, Saint Louis, MO 63138 | 2018-07-31 |
| 1518489186 | Laconte Randle | Nurse Practitioner | 1225 Lakeview Ave, Saint Louis, MO 63138 | 2017-07-14 |
| 1811369499 | Tyler Musto | Dentist | 120000 Bellefontaine, St. Louis, MO 63138 | 2015-10-22 |
| 1346627106 | Family United Adult Day Center, LLC | Clinic/Center | 12444 Lusher Road, Saint Louis, MO 63138 | 2015-04-30 |
| 1629340765 | Samuel Mugwe Kimari | Specialist | 11838 Orletto Way, St.louis, MO 63138 | 2012-02-06 |
| 1447536453 | Cignodental Care LLP | Dentist | 12000 Bellefontaine, Saint Louis, MO 63138 | 2011-10-24 |
| 1255515995 | Timothy A Schaible Dmd PC | Dentist | 1544 Sierra Vista Plaza, St Louis, MO 63138 | 2007-12-18 |
| 1750406948 | Life Development Support Centers | Day Training, Developmentally Disabled Services | 12259-61 Bellefontaine Road, Saint Louis, MO 63138 | 2007-03-20 |
| Find all providers in zip 63138 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417114554 | Thomas C Ryzicka | Dentist | 2820 Lemay Ferry, St Louis, MO 63125 | 2008-05-16 |
| 1760502033 | Valerie Paris O Bannon | Dentist | 665 S Skinker, St Louis, MO 63105-2300 | 2007-03-30 |
| 1588782742 | Richard W Danyluck | Dentist | 3940 S Broadway, St Louis, MO 63118-4626 | 2007-03-27 |
| 1366573859 | Gary Alan Padberg | Dentist | 8077 Watson Rd, Suite 150, St Louis, MO 63119-5323 | 2007-03-08 |
| 1265576904 | Gerda Monika Thalheimer | Dentist | 11627 Gravois Rd, St Louis, MO 63126 | 2007-02-16 |
| 1659417582 | Brett Irvin | Dentist | 1511 East Broadway, St Louis, IL 62201 | 2007-01-29 |
| 1285783563 | Mary Heil Grimm | Dentist | 9785 Mackenzie, Suite 106, St Louis, MO 63123 | 2007-01-09 |
| 1992853527 | David T Cappetta | Dentist | 1034 So Brentwood Blvd, University Club Tower Bld, St Louis, MO 63117 | 2007-01-08 |
| 1659436673 | Ronald King Greif | Dentist | 4442 Telegraph Rd, St Louis, MO 63129-3316 | 2006-12-27 |
| 1235294257 | Samir Edward Ruvinov | Dentist | 4442 Telegraph Road, St Louis, MO 63129 | 2006-12-27 |
| Find all providers in ST LOUIS | ||||
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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.