Active NPI
Sellan Seo, DDS
- General Practice Dentistry
- San Francisco, CA
National Provider Identifier
1043643091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 62629
- Practice address
- 490 Post St
Suite 520
San Francisco, CA 94102-1401 - Phone
- (415) 986-4534
- NPI assigned
- Aug 14, 2013
- Last updated
- Nov 17, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 62629 | CA | Primary |
Addresses
Primary practice location
490 Post St
Suite 520
San Francisco, CA 94102-1401
Mailing address
490 Post St
Suite 520
San Francisco, CA 94102-1401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62629 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384646400000",
"number": "1043643091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 POST ST",
"address_2": "SUITE 520",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941021401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 POST ST",
"address_2": "SUITE 520",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941021401",
"telephone_number": "415-986-4534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEO",
"first_name": "SELLAN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-14",
"last_updated": "2013-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "62629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
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- Merlen Taffer Sensenderfer, C.M.T.
- Carlin H Senter
- Kyung Seo, M.D.
- Sing Yu Seo, LCSW
- Roseanne Dawn Seok, PHARM.D.
- Diane Sequera, LVN
- Sequoia Living Inc (The Sequoias San Francisco)
- Sequoia Living Inc. (Sequoias San Francisco)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.