Individual provider Active NPI

Samuel Edward Selcher, D.M.D.

  • Dentist
  • Middletown, PA
National Provider Identifier
1447261409
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS019053L Issued in PA
Practice address
700 Spring Garden Dr
Middletown, PA 17057-3034
Phone
(717) 944-0426
Fax
(717) 944-4281
NPI assigned
Aug 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS019053L PA Primary

Addresses

Primary practice location

700 Spring Garden Dr
Middletown, PA 17057-3034

Mailing address

700 Spring Garden Dr
Middletown, PA 17057-3034
Phone (717) 944-0426

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
I20150724010655 PA Order and Referring Only - DentistPractitioner - Dentist 6901119510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS019053LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Dental Concepts LLC PastSince Jan 8, 2023 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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447261409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SPRING GARDEN DR",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170573034",
            "telephone_number": "717-944-0426",
            "fax_number": "717-944-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SPRING GARDEN DR",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170573034",
            "telephone_number": "717-944-0426",
            "fax_number": "717-944-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELCHER",
        "first_name": "SAMUEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS019053L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, PA

Sources for this page

Verify at the official NPI Registry.