Active NPI
Jared Benjamin Siegel, DDS
- General Practice Dentistry
- Schererville, IN
National Provider Identifier
1740818848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.032902
- Practice address
- 41 US Highway 41
Schererville, IN 46375-1201 - Phone
- (219) 336-8571
- NPI assigned
- Apr 1, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.032902 | IL | Primary |
| General Practice Dentistry | 1223G0001X | 12013641A | IN |
Addresses
Primary practice location
41 US Highway 41
Schererville, IN 46375-1201
Mailing address
205 S Peoria St Apt 1219
Chicago, IL 60607-3129
Phone (631) 374-8567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.032902 | IL | MD | General Practice Dentistry |
| 12013641A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jared B Siegel DDS PC | General Practice | Current | Accepting new patients |
Locations
41 US Highway 41
Schererville, IN 46375
Phone (219) 250-1762
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.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1073249769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1740818848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 S PEORIA ST APT 1219",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073129",
"telephone_number": "631-374-8567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 US HIGHWAY 41",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751201",
"telephone_number": "219-336-8571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "JARED",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-01",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.032902",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12013641A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.