Active NPI
Scott E Selz, D.D.S.
- General Practice Dentistry
- Decatur, TX
National Provider Identifier
1467573881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13947
- Practice address
- 301 W Main St
Decatur, TX 76234-1383 - Phone
- (940) 627-3730
- Fax
- (940) 627-5566
- NPI assigned
- Apr 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13947 | TX | Primary |
Addresses
Primary practice location
301 W Main St
Decatur, TX 76234-1383
Mailing address
301 W Main St
Decatur, TX 76234-1383
Phone (940) 627-3730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160609000714 | TX | Order and Referring Only - Dentist | 4183914799 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Advanced Dental | Past | Accepting new patients | |
| Decatur Smiles | Past | Accepting new patients |
Organizations & group practices 2
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": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467573881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W MAIN ST",
"city": "DECATUR",
"state": "TX",
"postal_code": "762341383",
"telephone_number": "940-627-3730",
"fax_number": "940-627-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W MAIN ST",
"city": "DECATUR",
"state": "TX",
"postal_code": "762341383",
"telephone_number": "940-627-3730",
"fax_number": "940-627-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELZ",
"first_name": "SCOTT",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "13947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, TX
- Sarah Sinclair Sanders
- Zan Sattar, DMD
- Mason Savage, LPTA
- Linda Marie Schaefer, PA
- Louise Marcia Scudieri, CRNA, MS
- Senior Care Resources, Inc. (Senior Care Health & Rehabilitation Center-Decatur)
- Shae-Run Inc. (Health Innovations Clinic)
- Steven H Shelton, NP
- Haroon W Siddique, M.D.
- Victoria Sierra Simmons, AGACNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.