Organization Active NPI

Michael P. Seidman

  • General Practice Dentistry
  • Hyannis, MA
National Provider Identifier
1689767428
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16315 Issued in MA
Legal business name
MICHAEL P. SEIDMAN
Practice address
262 Barnstable Rd
Hyannis, MA 02601-2919
Phone
(508) 778-1200
Fax
(508) 775-5502
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael P. Seidman, D.D.S.
Title
Owner
Phone
(508) 778-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 16315 MA Primary

Addresses

Primary practice location

262 Barnstable Rd
Hyannis, MA 02601-2919

Mailing address

262 Barnstable Rd
Hyannis, MA 02601-2919
Phone (508) 778-1200

Other identifiers 3

IdentifierTypeStateIssuer
25259OtherPAUNITED CONCORDIA
380021OtherMAHARVARD PILGRIM HEALTH
X10615OtherMABLUE CROSS/BLUE SHIELD

Other names 1

  • Dental Associates of Cape Cod Other name

National Provider Directory

National Provider Directory

Locations

262 Barnstable Rd
Hyannis, MA 02601
Phone (508) 778-1200

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689767428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 BARNSTABLE RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012919",
            "telephone_number": "508-778-1200",
            "fax_number": "508-775-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 BARNSTABLE RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012919",
            "telephone_number": "508-778-1200",
            "fax_number": "508-775-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P. SEIDMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEIDMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-778-1200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "25259",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "380021",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "X10615",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Associates of Cape Cod",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.