Active NPI
Jennifer Lynn Sielski, DMD
- Pediatric Dentistry
- North Charleston, SC
National Provider Identifier
1831485010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8549
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN014299 | GA | MD | Dentist |
| 8549 | SC | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentistry for Children of South Carolina PC | Pediatric Dentistry | Past | 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.
-
- Pediatric Dentistry
- Mount Pleasant, SC
- NPI 1588130942
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.