Organization Active NPI

Grayson L. Sellers, DDS, PA

  • General Practice Dentistry
  • Los Fresnos, TX
National Provider Identifier
1639316599
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GRAYSON L. SELLERS, DDS, PA
Practice address
110 San Antonio Cir
Los Fresnos, TX 78566-4315
Phone
(956) 454-9862
NPI assigned
Jan 14, 2009
Last updated
Sep 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Authorized official

Name
Dr. Grayson Lester Sellers, DDSNPI 1770543654
Title
Owner / Dentist
Phone
(956) 943-4166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

110 San Antonio Cir
Los Fresnos, TX 78566-4315

Mailing address

110 San Antonio Cir
Los Fresnos, TX 78566-4315
Phone (956) 454-9862

National Provider Directory

National Provider Directory

Locations

314 E Queen Isabella Blvd
Port Isabel, TX 78578
Phone (281) 293-7778

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1639316599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SAN ANTONIO CIR",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785664315",
            "telephone_number": "956-454-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SAN ANTONIO CIR",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785664315",
            "telephone_number": "956-454-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON L. SELLERS, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2023-09-04",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "GRAYSON",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "956-943-4166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Fresnos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.