Active NPI
Paul Jeremy Seider, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Pembroke Pines, FL
National Provider Identifier
1487898698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN16443
- Practice address
- 3157 N University Dr
Suite 104
Pembroke Pines, FL 33024-2258 - Phone
- (954) 431-1600
- Fax
- (954) 432-7994
- NPI assigned
- May 1, 2009
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN16443 | FL | Primary |
Addresses
Primary practice location
3157 N University Dr
Suite 104
Pembroke Pines, FL 33024-2258
Mailing address
3157 N University Dr
Suite 104
Pembroke Pines, FL 33024-2258
Phone (954) 431-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20240606001672 | FL | Practitioner - Oral Surgery | 8820306509 | Practice locations: Coconut Creek, FL; Weston, FL; Tamarac, FL; Hollywood, FL; Coral Springs, FL; Plantation, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| .Shofnos and Adami, DDS PA | Past | Accepting new patients | |
| Sage Dental of Cooper City, PLLC | Past | Accepting new patients | |
| Sage Dental of Plantation, P.a. | Past | Accepting new patients | |
| Sage Dental of Parkland, PLLC | Past | Accepting new patients | |
| Sage Dental of Weston PLLC | Past | Accepting new patients | |
| Sage Dental of Tamarac PLLC | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Hollywood, FL
- NPI 1053413831
-
- Dentist
- Cooper City, FL
- NPI 1992034664
-
- General Practice Dentistry
- Coral Springs, FL
- NPI 1104074004
-
- General Practice Dentistry
- Plantation, FL
- NPI 1396940011
-
- Dentist
- Tamarac, FL
- NPI 1528443637
-
- Dentist
- Weston, FL
- NPI 1285021394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1487898698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3157 N UNIVERSITY DR",
"address_2": "SUITE 104",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330242258",
"telephone_number": "954-431-1600",
"fax_number": "954-432-7994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3157 N UNIVERSITY DR",
"address_2": "SUITE 104",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330242258",
"telephone_number": "954-431-1600",
"fax_number": "954-432-7994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDER",
"first_name": "PAUL",
"middle_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-01",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN16443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.