Organization Active NPI

Seng Pediatric Dentistry, PC

  • Pediatric Dentistry
  • Jasper, IN
National Provider Identifier
1467835413
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201168300AMedicaidIN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.