Active NPI
Kevin M Seborg, HAD
- Hearing Instrument Specialist
- Annapolis, MD
National Provider Identifier
1598022576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 02703
- Practice address
- 963 Yachtsman Way
Annapolis, MD 21403-3484 - Phone
- (443) 475-2316
- NPI assigned
- Apr 16, 2012
- Last updated
- Dec 5, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 02703 | MD | Primary |
Addresses
Primary practice location
963 Yachtsman Way
Annapolis, MD 21403-3484
Mailing address
963 Yachtsman Way
Annapolis, MD 21403-3484
Phone (443) 475-2316
Other practice location 1
8025 Ritchie Hwy
Pasadena, MD 21122-1031
Phone (410) 590-5572
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02703 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3D Hearing, Inc. | Past | Accepting new patients | |
| 3D Hearing, Inc. | 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": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1598022576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "963 YACHTSMAN WAY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214033484",
"telephone_number": "443-475-2316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "963 YACHTSMAN WAY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214033484",
"telephone_number": "443-475-2316"
}
],
"practiceLocations": [
{
"address_1": "8025 Ritchie Hwy",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "MD",
"postal_code": "211221031",
"country_code": "US",
"telephone_number": "410-590-5572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEBORG",
"first_name": "KEVIN",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "HAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-16",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MD",
"license": "02703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.