Individual provider Active NPI

Dalson H Seibert, M.D.

  • Family Medicine Physician
  • North Canton, OH
National Provider Identifier
1063625358
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35090807 Issued in OH
Practice address
4860 Frank Rd NW
North Canton, OH 44720-7426
Phone
(330) 494-7099
Fax
(330) 494-2147
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35090807 OH Primary

Addresses

Primary practice location

4860 Frank Rd NW
North Canton, OH 44720-7426

Mailing address

4860 Frank Rd NW
North Canton, OH 44720-7426
Phone (330) 494-7099

Other identifiers 1

IdentifierTypeStateIssuer
2836882MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080711000484 OH Practitioner - Family Practice 0547332280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Ohio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Physicians IncGroup PAC ID 9436176799, 9 clinicians

Practice addresses (Care Compare)

4860 Frank Ave NW
North Canton, OH 44720-7426
Phone 3304947099201

Hospital & facility affiliations

  • Advantage Home Health Services, Inc Home health agency, North Canton, OH, CCN 368248
  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35090807OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physicians Inc Family Medicine CurrentSince Jul 1, 2008 Accepting new patients

Locations

4860 Frank Ave NW
North Canton, OH 44720
Phone (216) 494-7099

Interoperability endpoints

  • Direct secure messaging: dseibert@fpi-oh.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1063625358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 FRANK RD NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207426",
            "telephone_number": "330-494-7099",
            "fax_number": "330-494-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 FRANK RD NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207426",
            "telephone_number": "330-494-7099",
            "fax_number": "330-494-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "DALSON",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35090807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2836882",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.