Active NPI
John Selph, DMD
- Pediatric Dentistry
- Marion, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 11504
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 16837 | MD | MD | Pediatric Dentist |
| 11504 | NC | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Honar Najafi and Associates LLC | Current | Accepting new patients | |
| John Selph, DMD, PLLC | Pediatric Dentistry | Current | Accepting new patients |
| Harford County Health Department | Past | Accepting new patients | |
| The Kid'S Dentist, P.a. | Pediatric Dentistry | Past | 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.
-
- Pediatric Dentistry
- Hendersonville, NC
- NPI 1922849769
-
- General Practice Dentistry
- Owings Mills, MD
- NPI 1407621063
-
- Public Health or Welfare Agency
- Edgewood, MD
- NPI 1255598686
-
- Pediatric Dentistry
- Columbia, MD
- NPI 1487759361
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.