James Peter Sellas, D.D.S.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DH031977 Issued in CA

Practice address

1875 Business Center Dr
Suite 101
San Bernardino, CA 92408-3416

Phone

(909) 884-4754

Fax

(909) 888-0144

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295810869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 BUSINESS CENTER DR",
            "address_2": "SUITE 101",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083416",
            "telephone_number": "909-884-4754",
            "fax_number": "909-888-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 BUSINESS CENTER DR",
            "address_2": "SUITE 101",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083416",
            "telephone_number": "909-884-4754",
            "fax_number": "909-888-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLAS",
        "first_name": "JAMES",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "DH031977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Segura
• Amber L Seidel, LMFT, LPCC
• Jocelyn Ellen Seitz-Keough, FNP
• Gurmit S Sekhon, M.D.
• Select Compcare
• Sophia Cristina Sellas, DDS
• Semajo Medical Supply, Inc.
• Senior Safe Home Health, Inc.
• Sentinel Hospice LLC
• Dong Seob Seo, CPO

• Oral & Maxillofacial Surgery (D.M.D.) in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.