Matthew Zeiders, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS040588 Issued in PA

Practice address

245 Baltimore St
Suite 2
Hanover, PA 17331-3260

Phone

(717) 632-0877

NPI assigned

Apr 7, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Practice roles

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.

• Tarik Jbarah, DMD, LLC

  dba Dr. Zeiders and Dr. Angotti

  • Dental Clinic/Center
  • Hanover, PA
  • NPI 1477920304
  NPD (past)

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1982022950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BALTIMORE ST",
            "address_2": "SUITE 2",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313260",
            "telephone_number": "717-632-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BALTIMORE ST",
            "address_2": "SUITE 2",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313260",
            "telephone_number": "717-632-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIDERS",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040588",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• York Adams Pain Specialists PC
• York Hospital (Wellspan Dialysis -Hanover)
• Katherine Yost
• Michelle Lynn Young, LCSW-C, LCSW
• Elizabeth Zartman, AGNP-C
• Amanda Carissa Zekany, MS, BSW
• Barry S Zelesnick, O.D.
• Mark Zengerle, M.S.
• Todd A Zeno, DPM
• Allison Zilonis

• Dentist in Hanover, PA
• Providers in Hanover, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.