Blerta Abdi Selden, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10554 Issued in TN

Practice address

520 TN 76
Suite 9
White House, TN 37188

Phone

(615) 672-7221

NPI assigned

Jan 23, 2015

Last updated

Apr 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pearl Pediatric Dentistry and Orthodontics

  • Pediatric Dentistry
  • Mount Juliet, TN
  • NPI 1093442444
  NPD Authorized official
• Spark Dental TN, PLLC

  dba Cumberland Pediatric Dentistry

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Smyrna, TN
  • NPI 1154087120
  NPD (past)

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1609266097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DEMONBREUN ST APT 1418",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372033282",
            "telephone_number": "727-278-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 TN 76",
            "address_2": "SUITE 9",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "37188",
            "telephone_number": "615-672-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELDEN",
        "first_name": "BLERTA",
        "middle_name": "ABDI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30610",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21009",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "10554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cobie Dale Sadler II, LPC, MHSP
• Azita Saleh, PA-C
• Karey L Sanders, MA
• Jason Scruggs, LPCC
• Hayley Richardson Sechler, PA-C
• Seven Springs Orthopaedics, PC
• Ashley Share, PSY.D.
• Arielle Shaw, PA-C
• Jamie Sheppard, LMFT
• Hailey Shuttleworth, DPT

• Orthodontics and Dentofacial Orthopedics Dentistry in White House, TN
• Providers in White House, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.