Individual provider Active NPI

Coral Seamount, DDS

  • General Practice Dentistry
  • Solvang, CA
National Provider Identifier
1275061590
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS101065 Issued in CA
Practice address
377 1St St
Solvang, CA 93463-2711
Phone
(805) 500-6203
NPI assigned
May 31, 2017
Last updated
May 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS101065 CA Primary

Addresses

Primary practice location

377 1St St
Solvang, CA 93463-2711

Mailing address

1669 Maple Ave Apt 18
Solvang, CA 93463-2646
Phone (561) 212-3648

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

LicenseStateTypeSpecialty
DDS101065CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Coral Seamount DDS 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1275061590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 MAPLE AVE APT 18",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632646",
            "telephone_number": "561-212-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 1ST ST",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632711",
            "telephone_number": "805-500-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAMOUNT",
        "first_name": "CORAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS101065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solvang, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.