Active NPI
James Raymond Seifried, D.D.S.
- General Practice Dentistry
- Fort Sill, OK
National Provider Identifier
1790743631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901010287
- Practice address
- 2724 Brave Rifles Regiment Road
USA Dental Activity
Fort Sill, OK 73503 - Phone
- (580) 442-3905
- NPI assigned
- May 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901010287 | MI | Primary |
Addresses
Primary practice location
2724 Brave Rifles Regiment Road
USA Dental Activity
Fort Sill, OK 73503
Mailing address
2776 Ringgold Rd
USA Dental Activity
Fort Sill, OK 73503
Phone (580) 442-3905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2930330 | Medicaid | MI |
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 |
|---|---|---|---|
| 2901010287 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1790743631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2776 RINGGOLD RD",
"address_2": "USA DENTAL ACTIVITY",
"city": "FORT SILL",
"state": "OK",
"postal_code": "73503",
"telephone_number": "580-442-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2724 BRAVE RIFLES REGIMENT ROAD",
"address_2": "USA DENTAL ACTIVITY",
"city": "FORT SILL",
"state": "OK",
"postal_code": "73503",
"telephone_number": "580-442-3905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIFRIED",
"first_name": "JAMES",
"middle_name": "RAYMOND",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901010287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2930330",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.