Individual provider Active NPI

Paul Jeremy Seider, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Pembroke Pines, FL
National Provider Identifier
1487898698
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN16443 Issued in FL
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

Updated by the provider on May 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.