Active NPI
Khaled Seifelnasr, DDS
- Endodontics
- Hudson, NH
National Provider Identifier
1609124122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN1856453
- Practice address
- 26 Derry St
Hudson, NH 03051-4008 - Phone
- (603) 883-1929
- NPI assigned
- Aug 15, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN1856453 | MA | Primary |
| General Practice Dentistry | 1223G0001X | 4022 | WV |
Addresses
Primary practice location
26 Derry St
Hudson, NH 03051-4008
Mailing address
26 Derry St
Hudson, NH 03051-4008
Phone (603) 883-1929
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160325000456 | MA | Order and Referring Only - Oral Surgery | 8628375219 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4022 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Endodontics PLLC | Endodontics | Current | Accepting new patients |
| Seifelnasr Endodontics | Endodontics | Current | Accepting new patients |
| Ak Plaistow Dental Group PLLC | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Dentist
- Plaistow, NH
- NPI 1164019212
-
- Endodontics
- Nashua, NH
- NPI 1063044139
-
- Endodontics
- Nashua, NH
- NPI 1730724832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1609124122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 DERRY ST",
"city": "HUDSON",
"state": "NH",
"postal_code": "030514008",
"telephone_number": "603-883-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 DERRY ST",
"city": "HUDSON",
"state": "NH",
"postal_code": "030514008",
"telephone_number": "603-883-1929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIFELNASR",
"first_name": "KHALED",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-15",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MA",
"license": "DN1856453",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "4022",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.