Active NPI
Elena Siniaver, DMD
- General Practice Dentistry
- Salem, MA
National Provider Identifier
1154477263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20118
- Practice address
- 90 Lafayette St
Salem, MA 01970-4077 - Phone
- (855) 745-0055
- Fax
- (978) 745-0058
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20118 | MA | Primary |
Addresses
Primary practice location
90 Lafayette St
Salem, MA 01970-4077
Mailing address
90 Lafayette St
Salem, MA 01970-4077
Phone (855) 745-0055
Other practice location 1
21 Tremont Street
Lynn, MA 01901
Phone (781) 599-2260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110008216A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simon Faynzilberg & Paul Shteynberg DMD PC | General Practice | Past | Accepting new patients |
| Dental Health International | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Lynn, MA
- NPI 1962276170
-
- General Practice Dentistry
- Lynn, MA
- NPI 1710193578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1154477263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 LAFAYETTE ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019704077",
"telephone_number": "855-745-0055",
"fax_number": "978-745-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 LAFAYETTE ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019704077",
"telephone_number": "855-745-0055",
"fax_number": "978-745-0058"
}
],
"practiceLocations": [
{
"address_1": "21 Tremont Street",
"address_purpose": "LOCATION",
"city": "Lynn",
"state": "MA",
"postal_code": "01901",
"country_code": "US",
"telephone_number": "781-599-2260",
"fax_number": "781-595-0002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SINIAVER",
"first_name": "ELENA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "20118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110008216A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.