Organization Active NPI

Tanner Seago, DMD, LLC

  • Dental Clinic/Center
  • Portsmouth, OH
National Provider Identifier
1073169504
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TANNER SEAGO, DMD, LLC
Practice address
1613 Kinneys LN
Portsmouth, OH 45662-3115
Phone
(614) 315-0160
NPI assigned
Aug 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Dr. Tanner A Seago, DMDNPI 1851820757
Title
Owner
Phone
(614) 315-0160

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1613 Kinneys LN
Portsmouth, OH 45662-3115

Mailing address

1 Tiber Way
Marietta, OH 45750-2911
Phone (614) 315-0160

National Provider Directory

National Provider Directory

Locations

1613 Kinneys Ln
Portsmouth, OH 45662
Phone (614) 315-0160

Practitioners & affiliated clinicians

Practitioners 1

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": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1073169504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TIBER WAY",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502911",
            "telephone_number": "614-315-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 KINNEYS LN",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623115",
            "telephone_number": "614-315-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNER SEAGO, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "SEAGO",
        "authorized_official_first_name": "TANNER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-315-0160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.