TAVIAN SIMMONS DDS
NPI 1851038384
Dentist - General Practice in Indianapolis, IN

Active since May 16, 2022PECOS Enrolled
550 N. UNIVERSITY BLVD STE. 3195, INDIANAPOLIS, IN 46202(317) 274-5315 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tavian Simmons Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAVIAN SIMMONS DDS (NPI 1851038384) is an individual general practice provider in Indianapolis, Indiana, licensed in Indiana (12014152A) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851038384
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTAVIAN SIMMONSCredential: DDS
Location Address550 N. UNIVERSITY BLVD STE. 3195Indianapolis, IN 46202-0001
Mailing Address6729 Stanhope DrIndianapolis, IN 46254 · (252) 642-4822
Sole ProprietorYes
Enumeration DateMay 16, 2022
Last NPPES UpdateJune 26, 2023
NPPES CertifiedMay 31, 2022
NPI 1851038384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in IN · 12014152A Licensed in NC · 12736
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

550 N. UNIVERSITY BLVD STE. 3195, Indianapolis, IN 46202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tavian Simmons Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851038384, enumerated as an "individual" on May 16, 2022.

The provider is located at 550 N. UNIVERSITY BLVD STE. 3195 INDIANAPOLIS, IN 46202 and the phone number is (317) 274-5315.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.