NPIMap

Organization Active NPI

Eric Seders DDS PLLC II

  • General Practice Dentistry
  • Wilmington, NC
National Provider Identifier
1255033478
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ERIC SEDERS DDS PLLC II
Practice address
8048 Market St Ste a
Wilmington, NC 28411-9384
Phone
(910) 686-6578
NPI assigned
Mar 21, 2023
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Dr. Eric Seders, DDSNPI 1518582709
Title
Owner/Dentist
Phone
(336) 314-9964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8048 Market St Ste a
Wilmington, NC 28411-9384

Mailing address

209 E Bogue Blvd
Atlantic Beach, NC 28512-0138
Phone (336) 314-9964

Other identifiers 4

IdentifierTypeStateIssuer
010644628MedicaidNC
246654581MedicaidNC
85-1900076MedicaidNC
1629181235MedicaidNC

National Provider Directory

National Provider Directory

Locations

8048 Market St
#A
Wilmington, NC 28411
Phone (910) 686-6578

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1255033478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E BOGUE BLVD",
            "city": "ATLANTIC BEACH",
            "state": "NC",
            "postal_code": "285120138",
            "telephone_number": "336-314-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8048 MARKET ST STE A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119384",
            "telephone_number": "910-686-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC SEDERS DDS PLLC II",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "SEDERS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "336-314-9964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010644628",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246654581",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85-1900076",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629181235",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.