Individual provider Active NPI

Frances Seller, D.D.S.

  • Dentist
  • Merrillville, IN
National Provider Identifier
1598137333
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12012365A Issued in IN
Practice address
105 W 78TH PL
Merrillville, IN 46410-5468
Phone
(219) 736-2368
NPI assigned
Oct 20, 2015
Last updated
Oct 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12012365A IN Primary

Addresses

Primary practice location

105 W 78TH PL
Merrillville, IN 46410-5468

Mailing address

105 W 78TH PL
Merrillville, IN 46410-5468
Phone (219) 736-2368

Other identifiers 1

IdentifierTypeStateIssuer
1420509052OtherINLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160429000295 IN Order and Referring Only - DentistPractitioner - Dentist 5193024909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12012365AINMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1598137333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 78TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105468",
            "telephone_number": "219-736-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 78TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105468",
            "telephone_number": "219-736-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLER",
        "first_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012365A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1420509052",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.