Paul Jay Selski, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27686 Issued in CA

Practice address

11873 Killimore Ave
Northridge, CA 91326-1937

Phone

(818) 554-4226

NPI assigned

Jan 25, 2007

Last updated

Jun 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1639224850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11873 KILLIMORE AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261937",
            "telephone_number": "818-554-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11873 KILLIMORE AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261937",
            "telephone_number": "818-554-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELSKI",
        "first_name": "PAUL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "511204",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davit Sedrakyan
• Beth L. Segel, PH.D.
• Jose Segura
• Self
• Alexander Seliverstov, M.D.
• Hooshang Semnani, M.D.
• Gari Alden Senderoff II
• Seniorcare at Northridge
• Arianna Senteno
• Sentinel Congregate Living Inc

• General Practice Dentistry in Northridge, CA
• Providers in Northridge, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.