Individual provider Active NPI

Raymond Joseph Sebor, DDS

  • Dentist
  • Columbia, MD
National Provider Identifier
1528259439
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6117 Issued in MD
Practice address
10576 Owen Brown Rd
Columbia, MD 21044-3837
Phone
(410) 730-0080
Fax
(410) 730-3002
NPI assigned
Aug 6, 2007
Last updated
Aug 6, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6117 MD Primary

Addresses

Primary practice location

10576 Owen Brown Rd
Columbia, MD 21044-3837

Mailing address

10576 Owen Brown Rd
Columbia, MD 21044-3837
Phone (410) 730-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6117MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1528259439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10576 OWEN BROWN RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443837",
            "telephone_number": "410-730-0080",
            "fax_number": "410-730-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10576 OWEN BROWN RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443837",
            "telephone_number": "410-730-0080",
            "fax_number": "410-730-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBOR",
        "first_name": "RAYMOND",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "6117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.