Active NPI
Thomas J. Seibert, D.M.D.
- Periodontics
- Bryn Mawr, PA
National Provider Identifier
1801017017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DS025576-L
- Practice address
- 919 Conestoga Rd
Building Two - Suite 209
Bryn Mawr, PA 19010-1352 - Phone
- (484) 380-2143
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DS025576-L | PA | Primary |
Addresses
Primary practice location
919 Conestoga Rd
Building Two - Suite 209
Bryn Mawr, PA 19010-1352
Mailing address
919 Conestoga Rd
Building Two - Suite 209
Bryn Mawr, PA 19010-1352
Phone (484) 380-2143
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 |
|---|---|---|---|
| DS025576-L | PA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1801017017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 CONESTOGA RD",
"address_2": "BUILDING TWO - SUITE 209",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190101352",
"telephone_number": "484-380-2143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 CONESTOGA RD",
"address_2": "BUILDING TWO - SUITE 209",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190101352",
"telephone_number": "484-380-2143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIBERT",
"first_name": "THOMAS",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS025576-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.