Active NPI
Jordan R Siegel
- Endodontics
- Silver Spring, MD
National Provider Identifier
1194385161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 18525
- Practice address
- 804 Pershing Dr Ste 102
Silver Spring, MD 20910-4436 - Phone
- (301) 562-9455
- NPI assigned
- Jun 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DEN2000507 | DC | |
| Endodontics | 1223E0200X | DR-3119 | HI | |
| Endodontics | 1223E0200X | 18525 | MD | Primary |
Addresses
Primary practice location
804 Pershing Dr Ste 102
Silver Spring, MD 20910-4436
Mailing address
8225 Osage LN
Bethesda, MD 20817-4405
Phone (301) 787-2156
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN2000507 | DC | MD | Endodontist |
| DR-3119 | HI | MD | Endodontist |
| 18525 | MD | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1194385161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8225 OSAGE LN",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208174405",
"telephone_number": "301-787-2156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 PERSHING DR STE 102",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209104436",
"telephone_number": "301-562-9455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "JORDAN",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-20",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "DC",
"license": "DEN2000507",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "HI",
"license": "DR-3119",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MD",
"license": "18525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.