Individual provider Active NPI

Selma Yucedal, DDS

  • Dentist
  • Schenectady, NY
National Provider Identifier
1326126582
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
051443 Issued in NY
Practice address
1221 Altamont Ave
Schenectady, NY 12303-2908
Phone
(518) 355-6811
NPI assigned
Nov 2, 2006
Last updated
Feb 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 051443 NY Primary

Addresses

Primary practice location

1221 Altamont Ave
Schenectady, NY 12303-2908

Mailing address

1221 Altamont Ave
Schenectady, NY 12303-2908
Phone (518) 355-6811

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
I20161018002205 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8426346800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rotterdam Dental Arts PLLC CurrentSince Apr 14, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1326126582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 ALTAMONT AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123032908",
            "telephone_number": "518-355-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 ALTAMONT AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123032908",
            "telephone_number": "518-355-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUCEDAL",
        "first_name": "SELMA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "051443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.