Siegfried,LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3838 Issued in AR

Legal business name

SIEGFRIED,LLC

Practice address

12 Marlou Dr
Cabot, AR 72023-3693

Phone

(501) 628-5555

Fax

(501) 628-5556

NPI assigned

Mar 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Erin Siegfried, DDS

Title

Sole MBR

Phone

(501) 628-5555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1639563406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MARLOU DR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233693",
            "telephone_number": "501-628-5555",
            "fax_number": "501-628-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MARLOU DR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233693",
            "telephone_number": "501-628-5555",
            "fax_number": "501-628-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIEGFRIED,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "SIEGFRIED",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "501-628-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197469608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trenton Shipley, PHARM.D.
• Lori L Shirley
• Joseph F Shotts, MD
• Brandon Shrum, LAT, ATC
• Floyd A Shurley Jr., M.D.
• April Simmons
• Asia Sims, LAC
• Taylor Sims, QBHP
• SJ Black Enterprises Inc.
• Amy Smith, OT

• General Practice Dentistry in Cabot, AR
• Providers in Cabot, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.