Individual provider Active NPI

Bruce G Seader, DDS

  • General Practice Dentistry
  • Tuckahoe, NY
National Provider Identifier
1487609152
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33404 Issued in NY
Practice address
1 Elm St
Suite 1-a
Tuckahoe, NY 10707-3925
Phone
(914) 793-9080
Fax
(914) 337-7141
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33404 NY Primary

Addresses

Primary practice location

1 Elm St
Suite 1-a
Tuckahoe, NY 10707-3925

Mailing address

1 Elm St
Suite 1-a
Tuckahoe, NY 10707-3925
Phone (914) 793-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33404NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487609152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELM ST",
            "address_2": "SUITE 1-A",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107073925",
            "telephone_number": "914-793-9080",
            "fax_number": "914-337-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELM ST",
            "address_2": "SUITE 1-A",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107073925",
            "telephone_number": "914-793-9080",
            "fax_number": "914-337-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEADER",
        "first_name": "BRUCE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "33404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuckahoe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.