Dennis A Selva, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

64234 Issued in GA

Practice address

3780 Holcomb Bridge Rd
Suite C
Norcross, GA 30092-4855

Phone

(770) 263-9101

Fax

(770) 263-9102

NPI assigned

Jul 25, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• La Clinica del Nino PC

  • Pediatrics Physician
  • Norcross, GA
  • NPI 1922131374
  NPD (past)
• North Atlanta Pediatric Associates, P.C.

  • Specialist
  • Atlanta, GA
  • NPI 1164412235
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1124040167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 HOLCOMB BRIDGE RD",
            "address_2": "SUITE C",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924855",
            "telephone_number": "770-263-9101",
            "fax_number": "770-263-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 HOLCOMB BRIDGE RD",
            "address_2": "SUITE C",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924855",
            "telephone_number": "770-263-9101",
            "fax_number": "770-263-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVA",
        "first_name": "DENNIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "64234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000876521F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justine Scott, PNP
• Steve Chris Scott, PT
• Kenneth Andrew Scroggs, L.C.S.W
• Lucinda Seikaly, LMT
• Linnette J Sells, D.O.
• Sencare Services LLC
• Senior Wisdom Partners LLC
• Sensational Progressional Occupational Therapy LLC
• Seoul Medical and Pain Clinic Inc
• Serene Dental Care, LLC

• Pediatrics Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.