Individual provider Active NPI

Priyanka Seeram, DDS

  • Dentist
  • Battle Creek, MI
National Provider Identifier
1356862593
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022338 Issued in MI
Practice address
5475 Beckley Rd Ste 100
Battle Creek, MI 49015-4146
Phone
(269) 979-7710
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901022338 MI
Dentist 122300000X 2901022338 MI Primary

Addresses

Primary practice location

5475 Beckley Rd Ste 100
Battle Creek, MI 49015-4146

Mailing address

155 W Michigan Ave Ste 1017
Kalamazoo, MI 49007-3917
Phone (734) 358-9603

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Klamazoo

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901022338MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
D2 Dental of Michigan General Practice Past Accepting new patients
Dental Dreams PLLC General Practice PastSince Feb 6, 2022 Accepting new patients
Pro Dental Mi 1 PC General Practice PastSince Sep 23, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1356862593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W MICHIGAN AVE STE 1017",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073917",
            "telephone_number": "734-358-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 BECKLEY RD STE 100",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154146",
            "telephone_number": "269-979-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEERAM",
        "first_name": "PRIYANKA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022338",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Klamazoo",
            "affiliation": "N",
            "address_1": "5475 Beckley Rd Ste 100",
            "city": "Battle Creek",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490154146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.