Active NPI
Truman Seiler IV, D.M.D.
- Dentist
- Phoenix, AZ
National Provider Identifier
1639536279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9356
- Practice address
- 1929 W Fillmore St
Phoenix, AZ 85009-3812 - Phone
- (602) 258-6008
- NPI assigned
- Jan 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9356 | AZ | Primary |
Addresses
Primary practice location
1929 W Fillmore St
Phoenix, AZ 85009-3812
Mailing address
2807 E Sunnyside Dr
Phoenix, AZ 85028-1228
Phone (602) 404-5992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170113000505 | AZ | Order and Referring Only - Dentist | 2365724028 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9356 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1639536279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2807 E SUNNYSIDE DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850281228",
"telephone_number": "602-404-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1929 W FILLMORE ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850093812",
"telephone_number": "602-258-6008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEILER",
"first_name": "TRUMAN",
"name_suffix": "IV",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-27",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "9356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.