Jack D. Seidel, M.D., P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H3940 Issued in TX

Legal business name

JACK D. SEIDEL, M.D., P.A.

Practice address

4100 Alpha Rd Ste 650
Farmers Branch, TX 75244-4381

Phone

(972) 243-5437

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jack Seidel, M.D.NPI 1962613026

Title

President

Phone

(972) 243-5437

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack David Seidel, M.D.

  • Pediatrics Physician
  • Farmers Branch, TX
  • NPI 1962613026
  NPD Authorized official

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1679518245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 ALPHA RD STE 650",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752444381",
            "telephone_number": "972-243-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 ALPHA RD STE 650",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752444381",
            "telephone_number": "972-243-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK D. SEIDEL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "SEIDEL",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-243-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H3940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000K94L2",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imnion, Inc.
• Incare DME, LLC
• Infusionmed USA Farmers Branch PLLC
• J and D Pharmacy
• J and D Pharmacy Inc
• Alicia Jackson, D.C.
• Johnathan Stephen Jackson, DNP, FNP-C, PMHNP-C
• Kylie-Marie Jackson
• Jacob Joseph and Jabez Family Counseling and Professional Services Gro
• Choudary L Jagarlamudi

• Pediatrics Physician in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.