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Deactivated NPI 1710970389 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Andrew Simmons , DDS

Dentist • La Vernia, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Simmons has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 29, 2005
NPI Deactivation Date March 17, 2006
Total Practice Duration ~22 Years of Practice (1984 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Simmons, DDS was a registered Dentist in La Vernia, TX. Prior to record deactivation on 2006-03-17, Dr. Simmons completed approximately 22 years of clinical practice following graduation from The Dental School At University Of Texas Hsc At San Antonio in 1984.

Dr. Simmons did not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

13549 Us Hwy 87 W

La Vernia, TX 781215879

Telephone 8307796511
Fax 8307791711
Associated Practice Facility / Clinic
🏢 La Vernia Dental Facility NPI 1144850728

Medicare Profile & Education

Medical School

The Dental School At University Of Texas Hsc At San Antonio

Graduation Year

1984

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in La Vernia, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
42 Yrs Matches City Avg
City Avg: 42.0 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
2 Specialists

Practicing in La Vernia, TX (6851 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simmons (42 Years) 42 Yrs
La Vernia Specialty Average (42.0 Years) 42.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-05-15
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX TX14122

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1205831682

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2024

Dentist (License #TX14122 in TX)

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Updated Practice Location January 28, 2013

Registered at 13549 US HWY 87 W, LA VERNIA, TX 781215879 (Tel: 8307796511)

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Updated Business Mailing Address January 28, 2013

Registered at P.O. BOX 1294, 13549 US HWY 87 W, LA VERNIA, TX 781215879 (Tel: 8307796511)

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Provider Name / Credentials Updated January 28, 2013

Recorded as MARK SIMMONS, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2013

Dentist (License #TX14122 in TX)

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NPI Profile Reactivated March 22, 2006

Record officially reactivated for active practice on March 22, 2006

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NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

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Initial NPI Registration & Enumeration August 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710970389
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2005
Last Update: May 15, 2024
Deactivation Date: March 17, 2006
Sole Proprietor: Yes

Mailing Address

P.o. Box 1294, 13549 Us Hwy 87 W

La Vernia, TX 781215879

Phone: 8307796511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.