Sara H Seo, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

054536 Issued in NY

Practice address

6 Rivers Dr
Great Neck, NY 11020-1417

Phone

(646) 409-3753

NPI assigned

Aug 9, 2009

Last updated

Feb 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: sseo563811@nychhc.direct-ci.com
• Direct secure messaging: sseo707352@nyumc.direct-ci.com

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.

• Island Pediatric Dentistry PC

  • Dental Clinic/Center
  • New Hyde Park, NY
  • NPI 1265876726
  Authorized official Same address or phone

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

{
    "created_epoch": "1249776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1124250162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RIVERS DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201417",
            "telephone_number": "646-409-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 RIVERS DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201417",
            "telephone_number": "646-409-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "SARA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-09",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "054536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Selzer, CCC-SLP
• Kimi Semder, MS
• Egbert Rollorata Sencio, PT
• Seniorstat Psychiatric PC
• Nirmala Senthilkumar, M.D
• Seolhee Kang Acupuncture, P.C.
• Gerald Septimus, PH.D.
• Michael Setzen, M.D.
• Samantha Sewell, MS, OTR/L
• Lakesha Seymour-Talford

• Pediatric Dentistry in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.