Organization Active NPI

John S.Selden,DDS,PA

  • Dentist
  • Charlotte, NC
National Provider Identifier
1013139310
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7048 Issued in NC
Legal business name
JOHN S.SELDEN,DDS,PA
Practice address
2315 West Arbors Drive
Suite 220
Charlotte, NC 28262-2639
Phone
(704) 597-3493
Fax
(704) 597-3494
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Dr. John Stephen Selden, DDSNPI 1043439508
Title
Dentist
Phone
(704) 597-3493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7048 NC Primary

Addresses

Primary practice location

2315 West Arbors Drive
Suite 220
Charlotte, NC 28262-2639

Mailing address

2315 West Arbors Drive
Suite 220
Charlotte, NC 28262-2639
Phone (704) 597-3493

National Provider Directory

National Provider Directory

Locations

2315 W Arbors Dr
Ste 220
Charlotte, NC 28262
Phone (704) 597-3493

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1013139310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 WEST ARBORS DRIVE",
            "address_2": "SUITE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622639",
            "telephone_number": "704-597-3493",
            "fax_number": "704-597-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 WEST ARBORS DRIVE",
            "address_2": "SUITE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622639",
            "telephone_number": "704-597-3493",
            "fax_number": "704-597-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S.SELDEN,DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "SELDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-597-3493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.