Individual provider Active NPI

Daniel Delmar Seitz, DDS

  • General Practice Dentistry
  • Jenison, MI
National Provider Identifier
1366970220
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901022215 Issued in MI
Practice address
701 Baldwin St
Jenison, MI 49428-7945
Phone
(616) 457-5610
NPI assigned
May 23, 2017
Last updated
May 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2017

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 2901022215 MI Primary

Addresses

Primary practice location

701 Baldwin St
Jenison, MI 49428-7945

Mailing address

701 Baldwin St
Jenison, MI 49428-7945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901022215MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel D Seitz DDS PC CurrentSince Dec 26, 2021 Accepting new patients
Bruce a Seitz DDS PC General Practice Past Accepting new patients

Locations

701 Baldwin St
Jenison, MI 49428
Phone (616) 457-5610

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, 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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495497600000",
    "number": "1366970220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287945",
            "telephone_number": "616-457-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "DANIEL",
        "middle_name": "DELMAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.