Individual provider Active NPI

Alan Jeffrey Seltzer, D.M.D.

  • General Practice Dentistry
  • Elmira, NY
National Provider Identifier
1265585822
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33631-1 Issued in NY
Practice address
311 W Church St
Elmira, NY 14901-2601
Phone
(607) 733-6825
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33631-1 NY Primary

Addresses

Primary practice location

311 W Church St
Elmira, NY 14901-2601

Mailing address

311 W Church St
Elmira, NY 14901-2601
Phone (607) 733-6825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150925000967 NY Order and Referring Only - DentistPractitioner - Dentist 1153639042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33631-1NYMDGeneral Practice Dentistry
033631NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alan J Seltzer DMD Dental Associates PC General Practice Past Accepting new patients
Elmira Family Dentistry P.L.L.C. General Practice PastSince Feb 26, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265585822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012601",
            "telephone_number": "607-733-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012601",
            "telephone_number": "607-733-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELTZER",
        "first_name": "ALAN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "33631-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.