Individual provider Active NPI

Khaled Seifelnasr, DDS

  • Endodontics
  • Hudson, NH
National Provider Identifier
1609124122
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN1856453 Issued in MA
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

Updated by the provider on May 23, 2016

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

Specialties & licenses 2

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160325000456 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8628375219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4022WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.