Active NPI
Samuel Edward Selcher, D.M.D.
- Dentist
- Middletown, PA
National Provider Identifier
1447261409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS019053L
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150724010655 | PA | Order and Referring Only - Dentist | 6901119510 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS019053L | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Dental Concepts LLC | Past | 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.
-
dba Middletown Dental Services
- General Practice Dentistry
- Middletown, PA
- NPI 1851004196
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.