Jonathan R. Siefker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21304 Issued in OH

Practice address

217 Dickson St
Wellington, OH 44090-1364

Phone

(440) 647-2752

Fax

(440) 647-1241

NPI assigned

Jul 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Chippewa Creek Dental-DRS. Siefker and Jacko DDS, LLC

  • Dental Clinic/Center
  • Seville, OH
  • NPI 1932727773
  NPD Authorized official
• Jacko & Siefker DDS, LLC

  dba Wellington Dental

  • Dental Clinic/Center
  • Wellington, OH
  • NPI 1245858083
  NPD Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801818034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 DICKSON ST",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440901364",
            "telephone_number": "440-647-2752",
            "fax_number": "440-647-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 DICKSON ST",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440901364",
            "telephone_number": "440-647-2752",
            "fax_number": "440-647-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEFKER",
        "first_name": "JONATHAN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette M Sandrock
• Linda Sauer
• Michelle Sauer
• Stephanie Larae Saunders, R.N.
• Sewa Homecare LLC
• Merle Perry Simmons
• Emily Faith Skala
• Brittanasha Renae Smith
• Joanne Carol Smith
• South Lorain County Ambulance District

• General Practice Dentistry in Wellington, OH
• Providers in Wellington, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.