Organization Active NPI

Krysta L Sellers DMD MSD PC

Doing business as Aesthetic Dental Center

  • Prosthodontics
  • Bismarck, ND
National Provider Identifier
1639528334
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2181 Issued in ND
Legal business name
KRYSTA L SELLERS DMD MSD PC
Doing business as
Aesthetic Dental Center
Practice address
1207 W Divide Ave
Bismarck, ND 58501-1290
Phone
(701) 400-7283
NPI assigned
Jun 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Krysta Sellers, D.M.D, M.S.D.
Title
Prosthodontist
Phone
(701) 400-7283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 2181 ND Primary

Addresses

Primary practice location

1207 W Divide Ave
Bismarck, ND 58501-1290

Mailing address

1207 W Divide Ave
Bismarck, ND 58501-1290

Other names 1

  • Aesthetic Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

1207 W Divide Ave
Bismarck, ND 58501
Phone (701) 400-7283

1207 W Divide Ave
Ste 1
Bismarck, ND 58501
Phone (701) 400-7283

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1639528334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 W DIVIDE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 W DIVIDE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011290",
            "telephone_number": "701-400-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSTA L SELLERS DMD MSD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "KRYSTA",
        "authorized_official_title_or_position": "PROSTHODONTIST",
        "authorized_official_telephone_number": "701-400-7283",
        "authorized_official_credential": "D.M.D, M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "ND",
            "license": "2181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.