DR. SAMANTHA SIEBENECK DDS
NPI 1659653772
Dentist in Columbus, OH

Q: What is Samantha Siebeneck's NPI number?

The NPI number for Samantha Siebeneck is 1659653772. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Q: What is Samantha Siebeneck's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since September 14, 2011PECOS Enrolled

1180 E MAIN ST, COLUMBUS, OH 43205(614) 645-5535 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Samantha Siebeneck Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA SIEBENECK DDS (NPI 1659653772) is an individual dentist in Columbus, Ohio, licensed in Ohio (30-023572) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659653772

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. SAMANTHA SIEBENECKCredential: DDS

Location Address1180 E MAIN STColumbus, OH 43205-1902

Mailing Address3433 Agler Rd Ste 2800Columbus, OH 43219-3389 · (614) 859-1906 · Fax (614) 645-5517

Phone(614) 645-5535

Sole ProprietorNo

Enumeration DateSeptember 14, 2011

Last NPPES UpdateAugust 26, 2025

NPPES CertifiedAugust 26, 2025

✔ NPI 1659653772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OH · 30-023572

Definition

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.

1180 E MAIN ST, Columbus, OH 43205

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Other Identifiers 1

Medicaid0054364OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samantha Siebeneck Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM HOWARD NOYES D.D.S.

Dentist