Stuart Brian Siegel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

FL6143 Issued in FL

Practice address

2915 E Cervantes St
Pensacola, FL 32503-6418

Phone

(850) 435-3111

Fax

(850) 435-3198

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stuart.siegel.1@24790.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gomez Dentistry PLLC

  dba Advantage Dental Center

  • Dental Clinic/Center
  • Pensacola, FL
  • NPI 1154844371
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053410050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 E CERVANTES ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325036418",
            "telephone_number": "850-435-3111",
            "fax_number": "850-435-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 E CERVANTES ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325036418",
            "telephone_number": "850-435-3111",
            "fax_number": "850-435-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "STUART",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "FL6143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0777595",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karleen Suzanne Shuster, M.A., LMFT
• Hailey Michelle Shutters
• Sasha Siassipour
• Gurmanpreet Kaur Sidhu
• Allison D Sidner, CRDH
• Sight and Sun Eyeworks LLC (Clarkson Eye Care)
• Sight and Sun Eyeworks LLC (Clarkson Eye Care)
• Sight and Sun Eyeworks LLC (Clarkson Eye Care)
• Claire Young Mi Sigl
• Mary Sigler

• Dentist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.