Individual provider Active NPI

Nicholas M Seigel, DMD

  • General Practice Dentistry
  • Blandon, PA
National Provider Identifier
1689246829
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS043192 Issued in PA
Practice address
109 Anna Avene
Blandon, PA 19510
Phone
(610) 926-1233
Fax
(610) 916-7640
NPI assigned
Jul 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS043192 PA Primary

Addresses

Primary practice location

109 Anna Avene
Blandon, PA 19510

Mailing address

PO Box 260
Blandon, PA 19510-0260
Phone (610) 926-1233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210803003295 PA Order and Referring Only - DentistPractitioner - Dentist 1254735913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shuman & Schwab, DMD PC General Practice PastSince Jul 25, 2021 Accepting new patients

Organizations & group practices 1

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1689246829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "195100260",
            "telephone_number": "610-926-1233",
            "fax_number": "610-916-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ANNA AVENE",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "19510",
            "telephone_number": "610-926-1233",
            "fax_number": "610-916-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIGEL",
        "first_name": "NICHOLAS",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blandon, PA

Sources for this page

Verify at the official NPI Registry.