Active NPI
Seng Pediatric Dentistry, PC
- Pediatric Dentistry
- Jasper, IN
National Provider Identifier
1467835413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- SENG PEDIATRIC DENTISTRY, PC
- Practice address
- 2005 Saint Charles St Ste 1
Jasper, IN 47546-2271 - Phone
- (812) 634-7409
- NPI assigned
- Jul 8, 2015
- Last updated
- Jul 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Laura Seng
- Title
- Office Manager
- Phone
- (812) 634-7409
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | NU | Primary |
Addresses
Primary practice location
2005 Saint Charles St Ste 1
Jasper, IN 47546-2271
Mailing address
2005 Saint Charles St Ste 1
Jasper, IN 47546-2271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201168300A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
2005 Saint Charles St
Ste 1
Jasper, IN 47546
Phone (812) 634-7409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436313600000",
"number": "1467835413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 SAINT CHARLES ST STE 1",
"city": "JASPER",
"state": "IN",
"postal_code": "475462271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 SAINT CHARLES ST STE 1",
"city": "JASPER",
"state": "IN",
"postal_code": "475462271",
"telephone_number": "812-634-7409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENG PEDIATRIC DENTISTRY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-08",
"last_updated": "2015-07-08",
"status": "A",
"authorized_official_last_name": "SENG",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "812-634-7409",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201168300A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.