Active NPI
Cheryl Stasny Sellers, D.D.S.
- Pediatric Dentistry
- New Braunfels, TX
National Provider Identifier
1265616593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 19935
- Practice address
- 731 N. Walnut
Ste. 103
New Braunfels, TX 78130-7927 - Phone
- (830) 625-1234
- Fax
- (830) 625-3266
- NPI assigned
- Dec 21, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 19935 | TX | Primary |
Addresses
Primary practice location
731 N. Walnut
Ste. 103
New Braunfels, TX 78130-7927
Mailing address
610 Landa Street
New Braunfels, TX 78130-7927
Phone (830) 625-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144705403 | Medicaid | TX |
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 |
|---|---|---|---|
| 19935 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217808000000",
"number": "1265616593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 LANDA STREET",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781307927",
"telephone_number": "830-625-1234",
"fax_number": "830-625-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 N. WALNUT",
"address_2": "STE. 103",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781307927",
"telephone_number": "830-625-1234",
"fax_number": "830-625-3266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "CHERYL",
"middle_name": "STASNY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-21",
"last_updated": "2008-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "19935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144705403",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.