Selah Health

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SELAH HEALTH

Practice address

5752 Grandscape Blvd Ste 225
The Colony, TX 75056-6772

Phone

(972) 900-1881

NPI assigned

May 31, 2024

Organization subpart

No

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

Authorized official

Name

Dalton DivakaranNPI 1689325169

Title

Ceo and President

Phone

(972) 900-1881

Specialties & licenses 3

Addresses

Practitioners 1

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

• Dalton Divakaran

  • Registered Nurse
  • Carrollton, TX
  • NPI 1689325169
  NPD Authorized official

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1104666551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5752 GRANDSCAPE BLVD STE 225",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750566772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5752 GRANDSCAPE BLVD STE 225",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750566772",
            "telephone_number": "972-900-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "DIVAKARAN",
        "authorized_official_first_name": "DALTON",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "972-900-1881"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Schwartz, PHARMD
• David Michael Schwitzer, DDS, MD
• Kevin Lee Seidler, DDS
• Richard A. Seidler, D.D.S.
• Sek Construction and Painting, LLC.
• Serenity Plus Hospice Inc
• Oliver Joseph Serrano, OTR
• Emilia Carolina Silva
• Herty Simbolon
• David Gerald Simeone, M.A., LPC

• Medical Specialty Clinic/Center in The Colony, TX
• Providers in The Colony, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.