Brandon Michael Sehlke, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

23331 Issued in TX

Practice address

6609 Blanco Rd
Ste #125
San Antonio, TX 78216-6152

Phone

(210) 341-1489

NPI assigned

Dec 4, 2007

Last updated

Jun 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Justin Anthony Dacy DDS Ms PA

  dba Implant & Periodontal Dentistry

  • Periodontics
  • San Antonio, TX
  • NPI 1164623203
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1316129034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD",
            "address_2": "STE #125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166152",
            "telephone_number": "210-341-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD",
            "address_2": "STE #125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166152",
            "telephone_number": "210-341-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEHLKE",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23331",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "23331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Razielle Araos Seguritan
• Raj Tek Sehgal, M.D.
• Savitha Sehgal, MD
• Nanki Natt Sehic, D.D.S.
• Nihad Sehic, DDS
• Jennifer G Sehlke, DDS
• Sehndem Behavioral Health Care Center LLC
• Sabrina A Seib, MD
• Huda Seidahmed
• Benjamin Joseph Seidel, D.O.

• Periodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.