Individual provider Active NPI

Raymond Lee Seaburg, D.D.S

  • Dentist
  • Prior Lake, MN
National Provider Identifier
1326489675
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13774 Issued in MN
Practice address
14120 Commerce Ave NE Ste 300
Prior Lake, MN 55372-1503
Phone
(763) 227-1244
NPI assigned
Jul 16, 2013
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D13774 MN Primary

Addresses

Primary practice location

14120 Commerce Ave NE Ste 300
Prior Lake, MN 55372-1503

Mailing address

14120 Commerce Ave NE Ste 300
Prior Lake, MN 55372-1503
Phone (950) 209-0747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20170503000594 MN Order and Referring Only - DentistPractitioner - Dentist 7618254558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401414073VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
HQ US Army Dental Activities Dentist Past Accepting new patients
RLS Freedom Dental Past Accepting new patients

Organizations & group practices 2

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1326489675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 COMMERCE AVE NE STE 300",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721503",
            "telephone_number": "950-209-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14120 COMMERCE AVE NE STE 300",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721503",
            "telephone_number": "763-227-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEABURG",
        "first_name": "RAYMOND",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prior Lake, MN

Sources for this page

Verify at the official NPI Registry.