Scott Graham Siemen, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17973 Issued in MA

Practice address

672 Pleasant St
Paxton, MA 01612-1306

Phone

(508) 557-2400

NPI assigned

Jan 25, 2007

Last updated

May 4, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Paxton Dental Care PC

  • General Practice Dentistry
  • Paxton, MA
  • NPI 1750867032
  NPD Authorized official
• Fadi Farah DMD PC

  dba Paxton Dental Care

  • Dental Clinic/Center
  • Paxton, MA
  • NPI 1376365239
  NPD

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1316093354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 PLEASANT ST",
            "city": "PAXTON",
            "state": "MA",
            "postal_code": "016121306",
            "telephone_number": "508-791-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 PLEASANT ST",
            "city": "PAXTON",
            "state": "MA",
            "postal_code": "016121306",
            "telephone_number": "508-557-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMEN",
        "first_name": "SCOTT",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paxton Dental Care PC
• Michele Roberts, M.D. PH.D.
• Fina Robertson
• Lenore Ann Rust, LICSW
• John T Shliapa, ATC
• Erin E. Tanner, NP
• Town of Paxton
• Laurie Ann Vega
• Timothy Zawalich
• Valerie Zawalich, NP

• General Practice Dentistry in Paxton, MA
• Providers in Paxton, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.