DR. PAUL STEVEN SIMMONS (NPI# 1457351629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457351629 |
Entity Type | Individual |
Full Name | DR. PAUL STEVEN SIMMONS |
Credential | D.D.S., M.S. |
Practice Address |
5902 W 35th St Cicero IL 60804-4162 |
Practice Telephone | 7087800440 |
Practice Fax Number | 7087800441 |
Mailing Telephone | 7087800440 |
Mailing Fax Number | 7087800441 |
Enumeration Date | 2005-07-28 |
Last Update Date | 2007-08-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers | |
Y | 1223P0300X |
Dentist Specialization: Periodontics |
IL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588605687 | Paul D Simmons | Family Medicine | 669 Serenity Ct, Grand Junction, CO 81505-4836 | 2006-06-09 |
1598365900 | Paul William Simmons | Pharmacist | 23605 Airport Rd, Coshocton, OH 43812-9262 | 2020-10-27 |
1407270747 | Paul Simmons | Nurse Practitioner | 1415 California St, Houston, TX 77006 | 2014-02-06 |
1427380153 | Paul Allan Simmons | Chiropractor | 20355 Kelly Rd, Detroit, MI 48225-1206 | 2010-02-05 |
1902826092 | Paul B Simmons | Internal Medicine | 2981 Health Parkway, Suite A, Mt Pleasant, MI 48858-3914 | 2006-07-20 |
1669413217 | Paul D Simmons | Optometrist | 11925 Pearl Rd, Suite 104, Strongsville, OH 44136-3353 | 2006-06-08 |
1467443341 | Paul Irwin Simmons | Internal Medicine | 50 Staniford St, 3rd Floor S50 3 300 Mass General Medical Group, Boston, MA 02114-2517 | 2005-10-31 |
Street Address |
5902 W 35TH ST |
City | CICERO |
State | IL |
Zip Code | 60804-4162 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083615660 | Patricia Lynn Simmons | Dentist | 5902 W 35th St, Cicero, IL 60804-4162 | 2005-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265096945 | Jacqueline N/a Gonzalez | Physical Therapy Assistant | 3521 S 56th Ct, Cicero, IL 60804 | 2019-04-27 |
1265966832 | Jacqueline Calles | Substance Abuse Rehabilitation Facility | 4904 W. 32nd St, Cicero, IL 60804 | 2017-04-20 |
1346667771 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4741 W Cermak Rd, Cicero, IL 60804 | 2014-03-24 |
1538580469 | Jesus Paul Sanchez | Behavioral Analyst | 3100 S. Central Ave, Cicero, IL 60804 | 2013-12-19 |
1568712123 | Monil P Shah Dmd PC | Dentist | 5539 W Cermak Road, Cicero, IL 60804 | 2012-09-11 |
1699073148 | Lolita Aguinaga | Social Worker | 5341 W. Cermak Road, Cicero, IL 60804 | 2011-03-08 |
1699949263 | Anne T Gearhart | Pediatrics | 2307 S Cicero Ave, Chicago, IL 60804 | 2008-04-15 |
1437332467 | J S Vitamins and More Inc | Durable Medical Equipment & Medical Supplies | 4785 W Cermatz, Circero, IL 60804 | 2007-12-13 |
1427171339 | Barbara J Majchrowski | Optometrist | 5729 W 35th Street, Suite 1east, Cicero, IL 60804 | 2007-04-06 |
1124190269 | Gulliume Moor | Psychologist | 6117 West Cermak Road, Cicero, IL 60804 | 2006-11-14 |
Find all providers in zip 60804 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891309399 | Dominik Dubravec Dds Mmsc PC | Dentist | 555 W Court St Ste 202, Kankakee, IL 60901-3674 | 2020-09-02 |
1598374167 | Dubravec Periodontal Specialists PC | Dentist | 20635 Abbey Woods Ct N Ste 203, Frankfort, IL 60423-3186 | 2020-07-29 |
1972145183 | Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr | Dentist | 820 E 87th St Ste 201, Chicago, IL 60619-6256 | 2019-10-09 |
1083192389 | Amirreza Ghassemi | Dentist | 2800 College Ave Bldg 285, Alton, IL 62002-4742 | 2018-07-30 |
1508355678 | Periodontal Associates, LLP | Dentist | 845 N Michigan Ave Ste 940w, Chicago, IL 60611-2216 | 2018-05-04 |
1043750714 | Bloomingdale Dental Rez, PC | Dentist | 1 Tiffany Pt Ste 209, Bloomingdale, IL 60108-2916 | 2017-03-01 |
1114398831 | Dubravec Periodontal Associates, PC | Dentist | 1900 Spring Rd, Suite 205, Oak Brook, IL 60523-1447 | 2015-10-08 |
1689059297 | Amer Atassi | Dentist | 6224 S Elm St, Burr Ridge, IL 60527-5228 | 2015-07-24 |
1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
1215345939 | Mark Kolozenski, Dds, Ms, PC | Dentist | 10083 W Lincoln Hwy, Frankfort, IL 60423-1272 | 2014-07-25 |
Find all providers with the same taxonomy |
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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.