Active NPI
Vivia Sequeira, BDS
- Prosthodontics
- Morgantown, WV
National Provider Identifier
1154963833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- IP1801
- Practice address
- 451, Wvu Dental Care
Suncrest Towne Center
Morgantown, WV 26505-2650 - Phone
- (304) 780-4820
- NPI assigned
- Oct 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | IP1801 | WV | Primary |
Addresses
Primary practice location
451, Wvu Dental Care
Suncrest Towne Center
Morgantown, WV 26505-2650
Mailing address
1321 Valley View Woods,
Valley View Av,
Morgantown, WV 26505
Phone (304) 780-4820
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IP1801 | WV | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1154963833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 VALLEY VIEW WOODS,",
"address_2": "VALLEY VIEW AV,",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26505",
"telephone_number": "304-780-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451, WVU DENTAL CARE",
"address_2": "SUNCREST TOWNE CENTER",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052650",
"telephone_number": "304-780-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEQUEIRA",
"first_name": "VIVIA",
"credential": "BDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-14",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "WV",
"license": "IP1801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.