Individual provider Active NPI

Payton Seelinger, DDS

  • Student in an Organized Health Care Education/Training Program
  • Little Rock, AR
National Provider Identifier
1356701486
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
5400 Highland Dr
Little Rock, AR 72223-2002
Phone
(501) 943-1263
NPI assigned
Mar 2, 2016
Last updated
Jun 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

5400 Highland Dr
Little Rock, AR 72223-2002

Mailing address

5400 Highland Dr
Little Rock, AR 72223-2002
Phone (501) 943-1263

Other practice location 1

910 Madison Ave Ste 1031
Memphis, TN 38163-3403
Phone (501) 690-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 19, 2023 through Apr 19, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1356701486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 HIGHLAND DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722232002",
            "telephone_number": "501-943-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 HIGHLAND DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722232002",
            "telephone_number": "501-943-1263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Madison Ave Ste 1031",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381633403",
            "country_code": "US",
            "telephone_number": "501-690-5656",
            "fax_number": "901-448-5480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEELINGER",
        "first_name": "PAYTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-02",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.