Brendan John Selway, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

58528 Issued in CA

Practice address

510 Kains Ave
Albany, CA 94706-1217

Phone

(510) 524-6045

NPI assigned

Feb 27, 2009

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 CA

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

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1356581565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 KAINS AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061217",
            "telephone_number": "510-524-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 KAINS AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061217",
            "telephone_number": "510-524-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELWAY",
        "first_name": "BRENDAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Elizabeth Schumacher, MA, CCC-SP
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• Jed Sekoff, PH.D.
• Karen Sellinger, MFT
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• Sharon J. Tyson, PH.D. and David J. Frankel, PH.D. a Psychology Corpor
• Brian Shea, ATC

• Dentist in Albany, CA
• Providers in Albany, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.