Individual provider Active NPI

Selin Oral, DMD

  • Pediatric Dentistry
  • Fair Lawn, NJ
National Provider Identifier
1184245904
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
22DI02962100 Issued in NJ
Practice address
23-00 Route 208 Ste 2-8
Fair Lawn, NJ 07410-1558
Phone
(201) 796-4111
NPI assigned
May 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 22DI02962100 NJ Primary
Dentist 122300000X 22DI02962100 NJ
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

23-00 Route 208 Ste 2-8
Fair Lawn, NJ 07410-1558

Mailing address

227 S Bonsall St
Philadelphia, PA 19103-5507

Other practice location 1

385 S Columbia Street
Chapel Hill, NC 27599-0001
Phone (919) 943-7991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200701000090 NC Order and Referring Only - DentistPractitioner - Dentist 2668895103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02962100NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1184245904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S BONSALL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-00 ROUTE 208 STE 2-8",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101558",
            "telephone_number": "201-796-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 S Columbia Street",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275990001",
            "country_code": "US",
            "telephone_number": "919-943-7991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORAL",
        "first_name": "SELIN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02962100",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02962100",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.