Individual provider Active NPI

Sandra E Selnick, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ellicott City, MD
National Provider Identifier
1154486280
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
MD10422 Issued in MD
Practice address
5082 Dorsey Hall Dr Ste 202
Ellicott City, MD 21042-7754
Phone
(410) 740-0002
Fax
(410) 740-0930
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X MD10422 MD Primary

Addresses

Primary practice location

5082 Dorsey Hall Dr Ste 202
Ellicott City, MD 21042-7754

Mailing address

5082 Dorsey Hall Dr Ste 202
Ellicott City, MD 21042-7754
Phone (410) 740-0002

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MD10422MDMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ox Orthodontix, LLC Orthodontics and Dentofacial Orthopedics CurrentSince Apr 10, 2022 Accepting new patients

Locations

5082 Dorsey Hall Dr
Ste 202
Ellicott City, MD 21042
Phone (410) 740-0002

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1154486280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5082 DORSEY HALL DR STE 202",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427754",
            "telephone_number": "410-740-0002",
            "fax_number": "410-740-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5082 DORSEY HALL DR STE 202",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427754",
            "telephone_number": "410-740-0002",
            "fax_number": "410-740-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELNICK",
        "first_name": "SANDRA",
        "middle_name": "E",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "MD10422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.