David Michael Seidman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

040871 Issued in NY

Practice address

59 E 54TH St
Ground Level
New York, NY 10022-4211

Phone

(212) 223-0911

Fax

(212) 223-1107

NPI assigned

Jul 28, 2006

Last updated

Jul 23, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1932113651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 E 54TH ST",
            "address_2": "GROUND LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224211",
            "telephone_number": "212-223-0911",
            "fax_number": "212-223-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E 54TH ST",
            "address_2": "GROUND LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224211",
            "telephone_number": "212-223-0911",
            "fax_number": "212-223-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDMAN",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "040871",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew D Seidman, MD
• Ariana Yael Seidman, CCC-SLP
• Cynthia E. Seidman, R.D.
• Daniel F. Seidman, PH.D.
• Danielle Seidman
• Karuna Seidman, OD
• Koheleth Seidman
• Lara Seidman
• Penina Seidman
• Stuart Neil Seidman, M.D.

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.