Individual provider Active NPI

Michael J Seip, D.D.S.

  • Dentist
  • Cottonwood, AZ
National Provider Identifier
1144282872
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D05238 Issued in AZ
Practice address
1061 State Route 260
Cottonwood, AZ 86326-4246
Phone
(928) 478-8447
Fax
(928) 474-8447
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D05238 AZ Primary

Addresses

Primary practice location

1061 State Route 260
Cottonwood, AZ 86326-4246

Mailing address

1061 State Route 260
Cottonwood, AZ 88632-4624
Phone (928) 699-7347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20151109000024 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1759691595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1144282872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 STATE ROUTE 260",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "886324624",
            "telephone_number": "928-699-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 STATE ROUTE 260",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264246",
            "telephone_number": "928-478-8447",
            "fax_number": "928-474-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIP",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D05238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.