Individual provider Active NPI

Samantha Kaye Seys, DMD

  • Dentist
  • Mankato, MN
National Provider Identifier
1003255589
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13278 Issued in MN
Practice address
530 W Pleasant St
Mankato, MN 56001-0438
Phone
(507) 345-6478
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D13278 MN Primary

Addresses

Primary practice location

530 W Pleasant St
Mankato, MN 56001-0438

Mailing address

530 W Pleasant St
Mankato, MN 56001-0438
Phone (507) 345-6478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20160229002170 MN Order and Referring Only - DentistPractitioner - Dentist 7810292869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D13278MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Earth Family Dental Inc CurrentSince Apr 16, 2023 Accepting new patients
Modern Dental Professionals Minnesota PC Dentist Past Accepting new patients

Locations

519 S Galbraith St
Blue Earth, MN 56013
Phone (507) 526-3111

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1003255589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W PLEASANT ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560010438",
            "telephone_number": "507-345-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W PLEASANT ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560010438",
            "telephone_number": "507-345-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYS",
        "first_name": "SAMANTHA",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.