Robert Jefferson Seymour, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

D7566 Issued in AZ

Practice address

2880 E Germann Rd
Suite 13
Chandler, AZ 85286-1410

Phone

(480) 821-5444

NPI assigned

Jul 3, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Crossroads Dental Group, LLP

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1609961309
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1043473564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 E GERMANN RD",
            "address_2": "SUITE 13",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861410",
            "telephone_number": "480-821-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 E GERMANN RD",
            "address_2": "SUITE 13",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861410",
            "telephone_number": "480-821-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "ROBERT",
        "middle_name": "JEFFERSON",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abrahim Setoodeh, D.D.S.
• Srilakshmi Settipalli, MD
• Teresa Severson
• Cheryl Michelle Sexton, LMFT
• Sandra Rojas Sexton, PNP
• Michele B Shackelford, M.D.
• Haley Shaffer, RPH
• Patrick B Shaffer, DDS
• Ankur Shah
• Bhavi Shah, PA-C

• Dentist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.