Jennifer Louise Satterfield-Siegel, D.D.S. PEDIATRIC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12009492 Issued in IN

Practice address

10801 N Michigan Rd
Suite 210
Zionsville, IN 46077-8170

Phone

(317) 873-3448

Fax

(317) 873-3425

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Special Smiles Pediatric Dentistry

  • Dental Clinic/Center
  • Zionsville, IN
  • NPI 1386935203
  NPD (past) Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1386759652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 N MICHIGAN RD",
            "address_2": "SUITE 210",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778170",
            "telephone_number": "317-873-3448",
            "fax_number": "317-873-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 N MICHIGAN RD",
            "address_2": "SUITE 210",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778170",
            "telephone_number": "317-873-3448",
            "fax_number": "317-873-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTERFIELD-SIEGEL",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.D.S. PEDIATRIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12009492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100464540",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "352071116",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne Samuel, SLP
• Helen Sandford, RN, MSN, ACNP-BC, FN
• Dawson Santos
• Harmeet Sarao, MD
• Suncica Sasic
• Spencer Savage
• Ellen Anne Schemmel, MS PT
• Katherine Anne Schmid, RD
• Paul E Schmidt, MD
• Candice Schneider

• Pediatric Dentistry in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.