Jacob Seiter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4036 Issued in AR

Practice address

2157 Prince St
Conway, AR 72034-3737

Phone

(501) 470-5758

NPI assigned

May 27, 2015

Last updated

Oct 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Seiter Family Dentistry, PLLC

  • Dental Clinic/Center
  • Conway, AR
  • NPI 1457892341
  NPD (past) Authorized official

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1316326028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 PRINCE ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343737",
            "telephone_number": "501-470-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 PRINCE ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343737",
            "telephone_number": "501-470-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITER",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209083608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carter Allen Seay
• Sean Sebourn, D.D.S.
• Seiter Family Dentistry, PLLC
• Seiter Foot and Ankle Specialists, PA
• Aaron Karl Seiter, D.P.M.
• Select Physical Therapy Holdings Inc (Select Physical Therapy)
• Andrea M Self, MS LPC
• Serc Rehabilitation Partners LLC
• Ayna Serwat, MD
• Claudia Angela Setiawan, M.D.

• General Practice Dentistry in Conway, AR
• Providers in Conway, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.