Individual provider Active NPI

Sameera Syeda

  • Dentist
  • Hartland, WI
National Provider Identifier
1508742578
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6002223 Issued in WI
Practice address
N73W28651 Bark River Rd
Hartland, WI 53029-8323
Phone
(262) 337-5316
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6002223 WI Primary

Addresses

Primary practice location

N73W28651 Bark River Rd
Hartland, WI 53029-8323

Mailing address

N73W28651 Bark River Rd
Hartland, WI 53029-8323
Phone (262) 337-5316

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

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1508742578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N73W28651 BARK RIVER RD",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298323",
            "telephone_number": "262-337-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N73W28651 BARK RIVER RD",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298323",
            "telephone_number": "262-337-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYEDA",
        "first_name": "SAMEERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6002223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.