Individual provider Active NPI

Julio Sekler, DMD, MMSC

  • Periodontics
  • Longmont, CO
National Provider Identifier
1174658157
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
10746 Issued in CO
Practice address
4710 Summerlin PL
Longmont, CO 80503-3921
Phone
(720) 606-3682
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN16067 FL
Periodontics 1223P0300X 10746 CO Primary

Addresses

Primary practice location

4710 Summerlin PL
Longmont, CO 80503-3921

Mailing address

4710 Summerlin PL
Longmont, CO 80503-3921
Phone (720) 606-3682

Other practice location 1

3975 Isles View Dr
Suite 202
Wellington, FL 33414-8854
Phone (561) 798-7807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20161020002052 CO Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5294013538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN16067FLMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Sergio M. Rauchwerger DMD PL Past Accepting new patients

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1174658157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 SUMMERLIN PL",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805033921",
            "telephone_number": "720-606-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 SUMMERLIN PL",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805033921",
            "telephone_number": "720-606-3682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3975 Isles View Dr",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334148854",
            "country_code": "US",
            "telephone_number": "561-798-7807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEKLER",
        "first_name": "JULIO",
        "name_prefix": "Dr.",
        "credential": "DMD, MMSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN16067",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "10746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.