Jereme Keith Sebastian

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2019018946 Issued in MO

Practice address

8291 N Booth Ave
Kansas City, MO 64158-7202

Phone

(816) 728-2979

NPI assigned

Jun 11, 2019

Last updated

Jun 11, 2019By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Bryan Watanabe DDS Liberty Dental Group PC

  dba Liberty Oaks Dental Group

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1780056135
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1346809514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 N BELLEFONTAINE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641172526",
            "telephone_number": "573-230-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8291 N BOOTH AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641587202",
            "telephone_number": "816-728-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "JEREME",
        "middle_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2019018946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Seater
• Jessica Lynne Seaton, FNP-BC
• Pamela Seator, MD
• Julianne Seaver
• John Seavertson, PH.D.
• Second Wind Counseling & Consulting
• Secure Expressmedical Transit LLC
• Secure Medical Transport
• Securesteps Transport Services
• Abigail Sedlacek

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.