JASON C SIEGEL (NPI# 1174633747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174633747 |
| Entity Type | Individual |
| Full Name | JASON C SIEGEL |
| Credential | DMD |
| Practice Address |
1 Randall Square Suite 405 Providence RI 02904-7405 |
| Practice Telephone | 4014215400 |
| Practice Fax Number | 4014215400 |
| Mailing Telephone | 4014215400 |
| Mailing Fax Number | 4014214865 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1043 | RI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA | 69556Z | 01 | |
| RI | BLUE CROSS DENTAL | 83647 | 01 |
| RI | JS00094 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205275740 | Jason Isaac Siegel | Family Medicine | 4304 Mesa Dr, Denton, TX 76207 | 2013-06-18 |
| 1851658538 | Jason Siegel | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2012-04-18 |
| 1326357583 | Jason Ian Siegel | Social Worker | 26 Court St Ste 709, Brooklyn, NY 11242 | 2010-10-05 |
| Street Address |
1 RANDALL SQUARE SUITE 405 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-7405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326140120 | Ob-gyn Associates Inc | Obstetrics & Gynecology | 1 Randall Square, Ste 205, Providence, RI 02904 | 2006-09-02 |
| 1306004619 | Lucie Bautista | Advanced Practice Midwife | 1 Randall Square, Suite 205, Providence, RI 02904 | 2008-05-23 |
| 1851568000 | Teresa Catherine Bert | Nurse Practitioner | 1 Randall Square, Suite 205, Providence, RI 02904 | 2008-05-15 |
| 1023214525 | Marisa I Allegra | Psychiatry & Neurology | 1 Randall Square, Suite 407, Providence, RI 02904-7405 | 2007-06-22 |
| 1275667842 | Norbert Fleisig Md Inc | Surgery | 1 Randall Square, Suite 304, Providence, RI 02904 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033574975 | Redwood Dental | Dentist | 271 N Spring Creek Pkwy, Suite D, Providence, UT 84332-9875 | 2015-12-18 |
| 1336492149 | Carmel Absi | Dentist | 3 Regency Plz, Providence, RI 02903-3161 | 2012-10-17 |
| 1285981530 | Jordan Joseph Hansen | Dentist | 169 N Gateway Drive, Suite 200, Providence, UT 84332 | 2012-08-06 |
| 1972734515 | Celeste C Mortenson | Dentist | 169 N Gateway Dr Ste 175, Providence, UT 84332-9825 | 2009-07-30 |
| 1740499136 | Roger N Carlsten | Dentist | 433 Lloyd Ave, Providence, RI 02906 | 2007-05-22 |
| 1053530733 | Sunnyside Family Dental | Dentist | 381 Angell St, Providence, RI 02906-3214 | 2007-04-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1720111503 | Diane T Monti Markowski | Dentist | 931 Smith Street, Providence, RI 02908 | 2007-03-13 |
| 1265560445 | Jacob Werba Werba | Dentist | 655 Broad St, Providence, RI 02907-1444 | 2007-03-01 |
| 1487717302 | Ernest P. Votolato | Dentist | 266 Wayland Ave, Providence, RI 02906-4524 | 2006-12-19 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on JASON C SIEGEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.