Individual provider Active NPI

Tammy Renee Severt, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chapel Hill, NC
National Provider Identifier
1295897767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6384 Issued in NC
Practice address
101 Conner Dr
Suite 401
Chapel Hill, NC 27514-7038
Phone
(919) 929-2365
Fax
(919) 967-2712
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 6384 NC Primary

Addresses

Primary practice location

101 Conner Dr
Suite 401
Chapel Hill, NC 27514-7038

Mailing address

101 Conner Dr
Suite 401
Chapel Hill, NC 27514-7038
Phone (919) 929-2365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 2, 2016 through Mar 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6384NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tammy R. Severt, DDS, PA Orthodontics and Dentofacial Orthopedics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295897767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CONNER DR",
            "address_2": "SUITE 401",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147038",
            "telephone_number": "919-929-2365",
            "fax_number": "919-967-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CONNER DR",
            "address_2": "SUITE 401",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147038",
            "telephone_number": "919-929-2365",
            "fax_number": "919-967-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERT",
        "first_name": "TAMMY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "6384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.