Individual provider Active NPI

Justin John Seaman, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1518212943
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
29816 Issued in TX
Practice address
6560 Fannin St Ste 614
Houston, TX 77030-2727
Phone
(713) 790-1995
NPI assigned
Jul 23, 2012
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 29816 TX Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 29816 TX

Addresses

Primary practice location

6560 Fannin St Ste 614
Houston, TX 77030-2727

Mailing address

6560 Fannin St Ste 614
Houston, TX 77030-2727
Phone (713) 790-1995

Other practice location 1

11451 Katy Fwy Ste 200
Houston, TX 77079-0012
Phone (346) 867-3139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2023 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29816TXMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Surgical Holdings PLLC Oral and Maxillofacial Surgery CurrentSince Jun 22, 2021 Accepting new patients
Sugar Land Modern Dentistry, PC Past Accepting new patients
Obsidian Management Group LLC Oral and Maxillofacial Surgery PastSince Oct 17, 2021 Accepting new patients

Locations

11451 Katy Fwy
Ste 200
Houston, TX 77079
Phone (346) 867-3139

6560 Fannin St
Ste 614
Houston, TX 77030
Phone (713) 790-1995

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, 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": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1518212943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 614",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302727",
            "telephone_number": "713-790-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 614",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302727",
            "telephone_number": "713-790-1995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11451 Katy Fwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770790012",
            "country_code": "US",
            "telephone_number": "346-867-3139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEAMAN",
        "first_name": "JUSTIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "29816",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "29816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.