Individual provider Active NPI

Lawrence S Seitlin, DDS

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1497856553
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3856 Issued in NC
Practice address
1014 East Blvd
Charlotte, NC 28203-5787
Phone
(704) 375-2030
Fax
(704) 371-4480
NPI assigned
Sep 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3856 NC Primary

Addresses

Primary practice location

1014 East Blvd
Charlotte, NC 28203-5787

Mailing address

1014 East Blvd
Charlotte, NC 28203-5787
Phone (704) 375-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20170104000734 NC Order and Referring Only - DentistPractitioner - Dentist 9739460833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3856NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seitlin, Niedan, & Seitlin, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497856553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035787",
            "telephone_number": "704-375-2030",
            "fax_number": "704-371-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035787",
            "telephone_number": "704-375-2030",
            "fax_number": "704-371-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITLIN",
        "first_name": "LAWRENCE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.