Marjan S Seywerd, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3372 Issued in ME

Practice address

516 Western Ave
Augusta, ME 04330-7739

Phone

(207) 622-1564

Fax

(207) 622-9630

NPI assigned

Jun 27, 2006

Sex

Female

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 ME

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356378046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 257",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043320257",
            "telephone_number": "207-622-1564",
            "fax_number": "207-622-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 WESTERN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307739",
            "telephone_number": "207-622-1564",
            "fax_number": "207-622-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYWERD",
        "first_name": "MARJAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larisa Katherine Semenuk, DNP, FNP, APRN
• Sydney R Sewall, MD
• Larry Clifford Sexton, PMHNP-BC
• Cheryl K Seymour, MD
• Erwin Bartholomeus Seywerd, M.D.
• Rabia Shamim, DMD
• Tennie Margaret Shardlow, PA-C
• Amit Kumar Sharma, MD
• Crista Anne Shaw, LCPC
• Jordan G Shaw, LCPC

• General Practice Dentistry in Augusta, ME
• Providers in Augusta, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.