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Dr. Samantha Siebeneck , DDS

Dentist • Columbus, OH

Active NPI 1659653772 Individual Practitioner Female Practitioner
Practice location in NPPES

1180 E Main St
Columbus, OH 432051902

Call 6146455535 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1180 E Main St

Columbus, OH 432051902

Telephone 6146455535
Organization at the Same NPPES Address or Phone
Columbus Neighborhood Health Center, Inc. Facility NPI 1851474993

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

12 standardized 30-day fills in 2021

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$36 in 2021

The total cost of these prescriptions in 2021, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Siebeneck has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Siebeneck as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Columbus and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Siebeneck are from 2021.

302 active clinicians are listed under Dentist with a practice address in Columbus, OH (2,791 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Columbus

0% of these 302 clinicians have the CMS telehealth indicator.

0.3% of these 302 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2021.

CMS Part D · Data Year 2021
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 12 65 $35.82 —

Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-26
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES OH 30-023572

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0054364 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ORAL SURGERY

Medicare Enrollment ID

I20160627001443

Enrollment State Jurisdiction

OH

PECOS Control ID

9537450341

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Shukri Addo , CNP

Nurse Practitioner - Family

NPI 1992363725

Certified Nurse Practitioner

Edna Akora-Mofunanya , NP

Nurse Practitioner - Family

NPI 1780354605

Nurse Practitioner

Shui-Chu Chou , CNP

Nurse Practitioner - Adult Health

NPI 1942382593

Certified Nurse Practitioner

NPI 1194173120

Doctor of Optometry

Dr. Eric Fryxell , MD

Family Medicine

NPI 1033179163

Doctor of Medicine (M.D.)

Sysilie Hill , CNP

Nurse Practitioner - Women's Health

NPI 1689305344

Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
📍
Updated Business Mailing Address August 26, 2025

Registered at 3433 AGLER RD STE 2800, COLUMBUS, OH 432193389 (Tel: 6148591906)

âś…
NPI Profile Active January 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2017

Registered at 1180 E MAIN ST, COLUMBUS, OH 432051902 (Tel: 6146455541)

📍
Updated Business Mailing Address January 19, 2017

Registered at 1180 E MAIN ST, COLUMBUS, OH 432051902 (Tel: 6146455541)

👤
Provider Name / Credentials Updated January 19, 2017

Recorded as SAMANTHA SIEBENECK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Dentist (license number reported to NPPES: OH 30-023572)

âś…
NPI Profile Active January 31, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) January 31, 2015

Registered at 1567 NORTHWEST BLVD, COLUMBUS, OH 432122544 (Tel: 5173034727)

📍
Business Mailing Address (Initial Record) January 31, 2015

Registered at 2086 E DUBLIN GRANVILLE RD, COLUMBUS, OH 432293518 (Tel: 6149010939)

👤
Provider Name / Credentials (Initial Record) January 31, 2015

Recorded as SAMANTHA SIEBENECK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2015

Dentist (license number reported to NPPES: OH 30-023572)

🟢
Initial NPI Registration & Enumeration September 14, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659653772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2011
Last Update: August 26, 2025
Sole Proprietor: No

Other Dentists in Columbus

All Dentists in Columbus

Mailing Address

3433 Agler Rd Ste 2800

Columbus, OH 432193389

Phone: 6148591906

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.