Individual provider Active NPI

John Selph, DMD

  • Pediatric Dentistry
  • Marion, NC
National Provider Identifier
1649704867
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11504 Issued in NC
Practice address
1617 Sugar Hill Rd
Marion, NC 28752
Phone
(828) 274-9220
NPI assigned
Apr 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 11504 NC Primary
Pediatric Dentistry 1223P0221X 16837 MD

Addresses

Primary practice location

1617 Sugar Hill Rd
Marion, NC 28752

Mailing address

3 Ben Hogan Dr
Hendersonville, NC 28739-8100
Phone (440) 334-3874

Other practice location 1

650 W Baltimore St
Baltimore, MD 21201-1510
Phone (410) 706-7472

Other practice location 2

2204 Hanson Rd
Edgewood, MD 21040-2608
Phone (443) 922-7670

Other practice location 3

9351 Lakeside Blvd Ste 202
Owings Mills, MD 21117
Phone (443) 394-9100

Other practice location 4

1637 College Ave
Spindale, NC 28160-0016
Phone (828) 375-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16837MDMDPediatric Dentist
11504NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Honar Najafi and Associates LLC CurrentSince Nov 26, 2023 Accepting new patients
John Selph, DMD, PLLC Pediatric Dentistry CurrentSince Jun 9, 2024 Accepting new patients
Harford County Health Department Past Accepting new patients
The Kid'S Dentist, P.a. Pediatric Dentistry PastSince Oct 1, 2019 Accepting new patients

Locations

9351 Lakeside Blvd
Ste 202
Owings Mills, MD 21117
Phone (443) 394-9100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1649704867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BEN HOGAN DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287398100",
            "telephone_number": "440-334-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 SUGAR HILL RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "28752",
            "telephone_number": "828-274-9220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 W Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011510",
            "country_code": "US",
            "telephone_number": "410-706-7472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 Hanson Rd",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "MD",
            "postal_code": "210402608",
            "country_code": "US",
            "telephone_number": "443-922-7670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9351 Lakeside Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "21117",
            "country_code": "US",
            "telephone_number": "443-394-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1637 College Ave",
            "address_purpose": "LOCATION",
            "city": "Spindale",
            "state": "NC",
            "postal_code": "281600016",
            "country_code": "US",
            "telephone_number": "828-375-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELPH",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "11504",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "16837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.