JESSICA SIMON (NPI# 1972920676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972920676 |
| Entity Type | Individual |
| Full Name | JESSICA SIMON |
| Credential | D.M.D |
| Practice Address |
890 Summit Crossing Pl Gastonia NC 28054-2192 |
| Mailing Address |
991 W Hudson Blvd Gastonia NC 28052-6430 |
| Practice Telephone | 7048740377 |
| Practice Fax Number | 7048535455 |
| Mailing Telephone | 7046711403 |
| Mailing Fax Number | 7048535131 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2016-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10300 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538721246 | Jessica Marie Simon | Nurse Practitioner | 3613 Trice Ave, Waco, TX 76707-1127 | 2019-07-02 |
| 1215323126 | Jessica Simon | Registered Nurse | 1863 David Ave, Parma, OH 44134-6818 | 2015-04-08 |
| 1447645908 | Jessica Simon | Student in an Organized Health Care Education/Training Program | Health Science Tower Level 19 Rm 030, Stony Brook, NY 11794-8191 | 2015-04-01 |
| 1659651099 | Jessica Simon | Specialist | 59 One Mile Rd Ext Ste G, East Windsor, NJ 08520-2505 | 2011-08-17 |
| 1790785285 | Jessica A Simon | Optometrist | 3330 Kent Rd, Stow, OH 44224-4537 | 2005-07-26 |
| 1215570429 | Jessica Simon | Case Manager/Care Coordinator | 250 S Henry St, Delaware, OH 43015-2978 | 2019-10-21 |
| 1629621297 | Jessica Simon | Specialist/Technologist, Other | 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 | 2019-07-22 |
| 1659832558 | Jessica Simon | Behavior Technician | 10300 Sw 72nd St Ste 114, Miami, FL 33173-3038 | 2019-03-26 |
| 1891232245 | Jessica Moore Simon | Psychologist | 4424 Montgomery Ave, Suite 201, Bethesda, MD 20814-4409 | 2017-01-24 |
| 1710339395 | Jessica Simon | Registered Nurse | 812 E Jolly Rd, Lansing, MI 48910-6818 | 2016-07-07 |
| Street Address |
890 SUMMIT CROSSING PL |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-2192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639329295 | Tameko Tompkins Sowell | Dentist | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2008-09-19 |
| 1992335145 | Gaston Family Health Services, Inc | Clinic/Center | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2020-01-16 |
| 1124589353 | Gaston Family Health Services, Inc. | Clinic/Center | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2019-03-29 |
| 1982835831 | Jonathan R Kaczmarski | Dentist | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2009-07-27 |
| 1922240969 | Ashley Blacktree | Dentist | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2009-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538191960 | Charles William Connor Jr. | Dentist | 1146 N New Hope Rd, Gastonia, NC 28054-2959 | 2006-07-07 |
| 1679004584 | Laetitia I. Sery, Dds, Pllc | Dentist | 1367 E Garrison Blvd Ste B, Gastonia, NC 28054-5144 | 2017-03-22 |
| 1922438977 | Rdest Dds Pllc II | Dentist | 1367 E Garrison Blvd Ste B, Gastonia, NC 28054-5144 | 2013-11-12 |
| 1457637621 | White Smiles | Dentist | 3044 E Franklin Blvd, Suite 4, Gastonia, NC 28056-5400 | 2011-11-01 |
| 1982835831 | Jonathan R Kaczmarski | Dentist | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2009-07-27 |
| 1922240969 | Ashley Blacktree | Dentist | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2009-04-06 |
| 1801939699 | Pediatric Dentistry and Orthodontics | Dentist | 1146 N New Hope Rd, Gastonia, NC 28054-2959 | 2007-02-14 |
| 1700936069 | Rebecca Burack Gross | Dentist | 1146 N New Hope Rd, Gastonia, NC 28054-2959 | 2007-01-11 |
| 1255337150 | Kelly Rachelle Zukaitis | Dentist | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507468 | S Vakil Dds Ms IIi Pa | Dentist | 181 N Main St Ste 202, Mooresville, NC 28115-2525 | 2020-10-26 |
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1942820105 | David E Thome Dds Pllc X | Dentist | 7856 Village Ctr N, Sherrills Ford, NC 28673-9413 | 2020-04-17 |
| 1689293706 | Alterman Dhillon and Associates | Dentist | 9648 Chapel Hill Rd Ste 100, Morrisville, NC 27560-7846 | 2020-04-09 |
| 1457982852 | Miguel Angel Simancas-pallares | Dentist | 228 Brauer Hall Cb#7450, Chapel Hill, NC 27599-0001 | 2020-02-04 |
| 1396388096 | Thome & Kankash Dds Pllc I | Dentist | 401 Attain St Ste 111, Fuquay Varina, NC 27526-2702 | 2019-10-25 |
| 1104469808 | David E Thome Dds Pllc Ix | Dentist | 5641 Poplar Tent Rd Ste 201, Concord, NC 28027-7588 | 2019-10-25 |
| 1154981371 | Bevin K Malle Dds Pa II | Dentist | 9817 Suzanne Ct., Suite B, Waxhaw, NC 28173-8848 | 2019-06-19 |
| 1740849744 | Riccobene & Associates Xxx, Dds, P.a. | Dentist | 8203 Market St Bldg B, Wilmington, NC 28411-9389 | 2019-06-12 |
| 1609337930 | Jean Kontos Ginnis | Dentist | Manning Drive & S Columbia Street, Chapel Hill, NC 27599-0001 | 2019-03-28 |
| 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.