NPIMap

Organization Active NPI

Dr. John T. Seago

  • Dental Clinic/Center
  • Saint Clair Shores, MI
National Provider Identifier
1427655828
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DR. JOHN T. SEAGO
Practice address
30207 Harper Ave
Saint Clair Shores, MI 48082-2612
Phone
(586) 774-3400
Fax
(586) 774-6615
NPI assigned
Oct 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Dr. John SeagoNPI 1437254737
Title
Owner/General Dentist
Phone
(586) 774-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

30207 Harper Ave
Saint Clair Shores, MI 48082-2612

Mailing address

30207 Harper Ave
Saint Clair Shores, MI 48082-2612
Phone (586) 774-3400

Other names 1

  • Seago Family Dentistry, PC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@seagodental.com

National Provider Directory

National Provider Directory

Locations

30207 Harper Ave
Saint Clair Shores, MI 48082
Phone (586) 774-3400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1427655828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30207 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822612",
            "telephone_number": "586-774-3400",
            "fax_number": "586-774-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30207 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822612",
            "telephone_number": "586-774-3400",
            "fax_number": "586-774-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN T. SEAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "SEAGO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "586-774-3400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@seagodental.com",
            "affiliation": "N",
            "address_1": "30207 Harper Ave",
            "city": "Saint Clair Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480822612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Seago Family Dentistry, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.