Kurt Aiden Seidler, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12622 Issued in TX

Practice address

1930 E Rosemeade Pkwy
#103
Carrollton, TX 75007-2473

Phone

(972) 492-0411

Fax

(972) 394-0917

NPI assigned

Jul 17, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kurt a. Seidler, D.D.S., Inc.

  • Dentist
  • Carrollton, TX
  • NPI 1245240605
  NPD (past) Authorized official

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1801050992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 E ROSEMEADE PKWY",
            "address_2": "#103",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072473",
            "telephone_number": "972-492-0411",
            "fax_number": "972-394-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 E ROSEMEADE PKWY",
            "address_2": "#103",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072473",
            "telephone_number": "972-492-0411",
            "fax_number": "972-394-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDLER",
        "first_name": "KURT",
        "middle_name": "AIDEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anniesha Scott, D.C.
• Darnelle Nakia Scott, NP
• Moeza A Seager
• Princy Sebastian, MS
• Felix Segovia, MD
• Melissa Elizabeth Seiter, MS, LPC, LCDC
• Selah Home Healthcare Inc
• Jeanne C. Selby, PHD
• Select Operations of Carrollton LLC
• Rachel Lee Self, FNP-C

• General Practice Dentistry in Carrollton, TX
• Providers in Carrollton, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.