Erik Seaberg, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11296 Issued in OR

Practice address

1020 Green Acres Rd
Eugene, OR 97408-1765

Phone

(458) 210-3542

Fax

(541) 504-3907

NPI assigned

Dec 31, 2017

Sex

Male

Sole proprietor

Yes

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 OR

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

State licenses

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

{
    "created_epoch": "1514678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1326555251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 KATY LN",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652031993",
            "telephone_number": "660-349-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 GREEN ACRES RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974081765",
            "telephone_number": "458-210-3542",
            "fax_number": "541-504-3907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Katy Ln",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652031993",
            "country_code": "US",
            "telephone_number": "660-349-0497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEABERG",
        "first_name": "ERIK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-31",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61291",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Leanne Scotton
• Shayne McKenzie Lee Scout
• David Scriven, MA
• Donna Scurlock, M.D.
• Marquis Edjuan Scurlock, MS, RDN, LD
• Christopher Ferry Seaman
• Sean Jang, O.D., P.C.
• Christie Michelle Sears, LPN
• Maxwell Sears, LPC
• Stephanie Miller Sears, MA

• General Practice Dentistry in Eugene, OR
• Providers in Eugene, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.