Active NPI
Kristine E Seibel DMD LLC
- Pediatric Dentistry
- Sudbury, MA
National Provider Identifier
1649635061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN19515
- Legal business name
- KRISTINE E SEIBEL DMD LLC
- Practice address
- 410 Boston Post Rd
Sudbury, MA 01776-3058 - Phone
- (978) 443-5431
- NPI assigned
- Dec 30, 2015
- Last updated
- Dec 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kristine E Seibel, D.M.D.
- Title
- Member
- Phone
- (978) 443-5431
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN19515 | MA | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN1856182 | MA |
Addresses
Primary practice location
410 Boston Post Rd
Sudbury, MA 01776-3058
Mailing address
410 Boston Post Rd
Sudbury, MA 01776-3058
National Provider Directory
National Provider DirectoryLocations
410 Boston Post Rd
Sudbury, MA 01776
Phone (617) 686-8254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451433600000",
"number": "1649635061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 BOSTON POST RD",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017763058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 BOSTON POST RD",
"city": "SUDBURY",
"state": "MA",
"postal_code": "017763058",
"telephone_number": "978-443-5431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTINE E SEIBEL DMD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-30",
"last_updated": "2015-12-30",
"status": "A",
"authorized_official_last_name": "SEIBEL",
"authorized_official_first_name": "KRISTINE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "978-443-5431",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "DN19515",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "DN1856182",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sudbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.