I Siegel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046169-1 Issued in NY

Practice address

4575 Main St
Snyder, NY 14226-4567

Phone

(716) 839-1470

Fax

(716) 839-3484

NPI assigned

May 25, 2007

Last updated

Nov 1, 2019By 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

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1962613323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 MAIN ST",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "142264567",
            "telephone_number": "716-839-1470",
            "fax_number": "716-839-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 MAIN ST",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "142264567",
            "telephone_number": "716-839-1470",
            "fax_number": "716-839-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "I",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046169-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Lee Roberts, CCC/SLP
• Alice M Rosenthal, LICENSED CLINICAL SO
• Samantha Gray Therapy & Professional Consultation
• Jacob Michael Schwartz, LMHC
• Gina M Siegel, DDS
• Snyder Dental Group
• Snyder Pharmacy Inc
• Ralph C Sperrazza, M.D.
• Stanford Psychological Services, PLLC
• Erin Lindsey Steck Silvestri

• General Practice Dentistry in Snyder, NY
• Providers in Snyder, 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 Nov 1, 2019; 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.