Individual provider Active NPI

Dillon Sease, DDS

  • General Practice Dentistry
  • North Myrtle Beach, SC
National Provider Identifier
1467191262
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10664 Issued in SC
Practice address
1376 Highway 17 N
North Myrtle Beach, SC 29582-2551
Phone
(843) 353-3405
NPI assigned
May 31, 2022
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13131 NC
General Practice Dentistry 1223G0001X 10664 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X NC

Addresses

Primary practice location

1376 Highway 17 N
North Myrtle Beach, SC 29582-2551

Mailing address

1376 Highway 17 N
North Myrtle Beach, SC 29582-2551
Phone (843) 353-3405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20241009001342 SC Order and Referring Only - DentistPractitioner - Dentist 3678004009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13131NCMDGeneral Practice Dentistry
10664SCMDGeneral Practice Dentistry
13131SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jebediah S Christy-North Myrtle Beach PLLC General Practice PastSince Oct 29, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dillon.sease.p1@direct.scdc.nextgenshare.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1467191262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 HIGHWAY 17 N",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822551",
            "telephone_number": "843-353-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 HIGHWAY 17 N",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822551",
            "telephone_number": "843-353-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEASE",
        "first_name": "DILLON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13131",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10664",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.