Individual provider Active NPI

James Robert Seligman, D.M.D.

  • Dentist
  • Boston, MA
National Provider Identifier
1568451714
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16218 Issued in MA
Practice address
1180 Washington St
Ste 102
Boston, MA 02118-2154
Phone
(617) 451-0011
Fax
(617) 451-0012
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16218 MA Primary

Addresses

Primary practice location

1180 Washington St
Ste 102
Boston, MA 02118-2154

Mailing address

1180 Washington St
Ste 102
Boston, MA 02118-2154
Phone (617) 451-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150908000258 MA Order and Referring Only - DentistPractitioner - Dentist 4183930167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16218MAMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1568451714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 WASHINGTON ST",
            "address_2": "STE 102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182154",
            "telephone_number": "617-451-0011",
            "fax_number": "617-451-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 WASHINGTON ST",
            "address_2": "STE 102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182154",
            "telephone_number": "617-451-0011",
            "fax_number": "617-451-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIGMAN",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "16218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.