Individual provider Active NPI

Jennifer Lynn Sielski, DMD

  • Pediatric Dentistry
  • North Charleston, SC
National Provider Identifier
1831485010
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8549 Issued in SC
Practice address
7800 Rivers Ave Ste 1640
North Charleston, SC 29406-4076
Phone
(843) 818-5437
NPI assigned
Jun 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN014299 GA
Pediatric Dentistry 1223P0221X 8549 SC Primary

Addresses

Primary practice location

7800 Rivers Ave Ste 1640
North Charleston, SC 29406-4076

Mailing address

128 Columbus St Apt 816
Charleston, SC 29403-4891
Phone (732) 674-6846

Other practice location 1

1905 Scenic Hwy N
Snellville, GA 30078-5633
Phone (770) 979-6400

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

LicenseStateTypeSpecialty
DN014299GAMDDentist
8549SCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentistry for Children of South Carolina PC Pediatric Dentistry PastSince Dec 9, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1831485010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 COLUMBUS ST APT 816",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294034891",
            "telephone_number": "732-674-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 RIVERS AVE STE 1640",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064076",
            "telephone_number": "843-818-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Scenic Hwy N",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300785633",
            "country_code": "US",
            "telephone_number": "770-979-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIELSKI",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-25",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014299",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "8549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.