Individual provider Active NPI

You Seen Seo, DDS

  • Dentist
  • Garner, NC
National Provider Identifier
1578112322
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14013 Issued in NC
Practice address
941 Heather Park Dr Ste a
Garner, NC 27529-4592
Phone
(919) 772-8895
NPI assigned
Sep 4, 2019
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019032390 IL
Dentist 122300000X 14013 NC Primary

Addresses

Primary practice location

941 Heather Park Dr Ste a
Garner, NC 27529-4592

Mailing address

4701 Violet Fields Way Unit 218
Raleigh, NC 27612-5660
Phone (516) 838-4280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250128000889 NC Order and Referring Only - DentistPractitioner - Dentist 2365971942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019032390ILMDGeneral Practice Dentistry
14013NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lane and Associates Liv DDS PA General Practice CurrentSince Jan 12, 2025 Accepting new patients

Locations

941 Heather Park Dr
Ste A
Garner, NC 27529
Phone (919) 772-8895

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1578112322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 VIOLET FIELDS WAY UNIT 218",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125660",
            "telephone_number": "516-838-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 HEATHER PARK DR STE A",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294592",
            "telephone_number": "919-772-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "YOU SEEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032390",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "14013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.