Individual provider Active NPI

Robert Eugene Seaman, D.M.D.

  • General Practice Dentistry
  • Hazleton, PA
National Provider Identifier
1346372349
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-021438-L Issued in PA
Practice address
919 W 15TH St
Hazleton, PA 18201-2707
Phone
(570) 459-5839
NPI assigned
Mar 12, 2007
Last updated
Dec 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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 DS-021438-L PA Primary

Addresses

Primary practice location

919 W 15TH St
Hazleton, PA 18201-2707

Mailing address

919 W 15TH St
Hazleton, PA 18201-2707
Phone (570) 459-5839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150629000312 PA Order and Referring Only - DentistPractitioner - Dentist 4082926423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-021438-LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1346372349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 W 15TH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182012707",
            "telephone_number": "570-459-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W 15TH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182012707",
            "telephone_number": "570-459-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAMAN",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-021438-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.