Active NPI
Paula Teres Sebastiani, DDS, MS
- Periodontics
- Mill Valley, CA
National Provider Identifier
1235229592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 39882
- Practice address
- 978 Greenhill Rd
Mill Valley, CA 94941-3451 - Phone
- (415) 380-8387
- NPI assigned
- Oct 14, 2006
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 39882 | CA | Primary |
Addresses
Primary practice location
978 Greenhill Rd
Mill Valley, CA 94941-3451
Mailing address
978 Greenhill Rd
Mill Valley, CA 94941-3451
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39882 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244419200000",
"number": "1235229592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "978 GREENHILL RD",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949413451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "978 GREENHILL RD",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949413451",
"telephone_number": "415-380-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBASTIANI",
"first_name": "PAULA",
"middle_name": "TERES",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-14",
"last_updated": "2009-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "39882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.