Individual provider Active NPI

David W. Selvig, DDS

  • Pediatric Dentistry
  • Natrona Heights, PA
National Provider Identifier
1083784268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS020210L Issued in PA
Practice address
1600 Pacific Ave
Suite 1
Natrona Heights, PA 15065-2138
Phone
(724) 224-0790
Fax
(724) 224-2136
NPI assigned
Nov 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS020210L PA Primary

Addresses

Primary practice location

1600 Pacific Ave
Suite 1
Natrona Heights, PA 15065-2138

Mailing address

1600 Pacific Ave
Suite 1
Natrona Heights, PA 15065-2138
Phone (724) 224-0790

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

LicenseStateTypeSpecialty
DS020210LPAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shaw Pediatric Dentistry P.C. Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083784268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PACIFIC AVE",
            "address_2": "SUITE 1",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652138",
            "telephone_number": "724-224-0790",
            "fax_number": "724-224-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PACIFIC AVE",
            "address_2": "SUITE 1",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652138",
            "telephone_number": "724-224-0790",
            "fax_number": "724-224-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVIG",
        "first_name": "DAVID",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS020210L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.