Charles Daniel Seawell, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D12948 Issued in MN

Practice address

305 W Main St
Kasson, MN 55944-1139

Phone

(507) 634-6421

Fax

(507) 634-2461

NPI assigned

Jun 8, 2011

Last updated

Jun 8, 2011By 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 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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.

• Kasson Dental Clinic LTD

  • Dental Clinic/Center
  • Kasson, MN
  • NPI 1780771600
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1346534195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "KASSON",
            "state": "MN",
            "postal_code": "559441139",
            "telephone_number": "507-634-6421",
            "fax_number": "507-634-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "KASSON",
            "state": "MN",
            "postal_code": "559441139",
            "telephone_number": "507-634-6421",
            "fax_number": "507-634-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAWELL",
        "first_name": "CHARLES",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marguerite Rothgarn, CNM
• David Sabotta
• Kimberly Schahl, MS, CGC
• Ladonna Marie Schultze
• Annemarie Schwanke, APRN, CNM
• Shopko Stores Operating Co LLC (Shopko Pharmacy 796)
• Michael William Spiten, DDS
• Stage by Staige
• Karen Staige
• Wade James Starkey, DDS

• Dentist in Kasson, MN
• Providers in Kasson, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.