Anthony Sevilla, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN20775 Issued in FL

Practice address

1695 Wells Rd
Orange Park, FL 32073-6208

Phone

(904) 269-7004

Fax

(904) 269-9008

NPI assigned

May 23, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Comfortable Care Dental Health Professionals, PA

  dba The Dentist Place - Orange Park

  • General Practice Dentistry
  • Orange Park, FL
  • NPI 1679785315
  NPD (past)

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1467864504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 WELLS RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736208",
            "telephone_number": "904-269-7004",
            "fax_number": "904-269-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 WELLS RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736208",
            "telephone_number": "904-269-7004",
            "fax_number": "904-269-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVILLA",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seton Pharmacy Inc
• Frank Severino
• Edward Bruce Sevetz Jr., D.M.D.
• Sevick LLC (Evervive Health)
• Michael Leon Sevick, FNP
• Arjav A. Shah, M.D.
• Maham Shahid, M.D.
• Neda Shahoori, M.D.
• Safiya Shaikh, DO
• Zuber Shaikh

• Dentist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.

Verify at the official NPI Registry.