Individual provider Active NPI

Andrew Sieger, DMD

  • General Practice Dentistry
  • New Holland, PA
National Provider Identifier
1790167906
Registry record updated Jan 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS040329 Issued in PA
Practice address
119 W Main St
New Holland, PA 17557-1203
Phone
(717) 354-6471
NPI assigned
Jun 24, 2015
Last updated
Jan 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2023

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 DS040329 PA Primary

Addresses

Primary practice location

119 W Main St
New Holland, PA 17557-1203

Mailing address

119 W Main St
New Holland, PA 17557-1203
Phone (717) 354-6471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Owl, PLLC General Practice CurrentSince Sep 8, 2024 Accepting new patients

Locations

119 W Main St
New Holland, PA 17557
Phone (717) 354-6471

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674864000000",
    "number": "1790167906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W MAIN ST",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175571203",
            "telephone_number": "717-354-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W MAIN ST",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175571203",
            "telephone_number": "717-354-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGER",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2023-01-28",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Holland, PA

Sources for this page

Verify at the official NPI Registry.