Organization Active NPI

Kevin B Seddens Ddspllc

  • Dental Clinic/Center
  • Texarkana, AR
National Provider Identifier
1649855214
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KEVIN B SEDDENS DDSPLLC
Practice address
1401 Dudley St
Texarkana, AR 71854-6331
Phone
(870) 330-7350
Fax
(870) 330-7347
NPI assigned
Mar 15, 2021
Last updated
Mar 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Dr. Kevin Seddens, DDS
Title
Member
Phone
(870) 330-7350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1401 Dudley St
Texarkana, AR 71854-6331

Mailing address

1401 Dudley St
Texarkana, AR 71854-6331
Phone (870) 330-7350

National Provider Directory

National Provider Directory

Locations

1401 Dudley St
Texarkana, AR 71854
Phone (870) 773-2095

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1649855214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 DUDLEY ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718546331",
            "telephone_number": "870-330-7350",
            "fax_number": "870-330-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 DUDLEY ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718546331",
            "telephone_number": "870-330-7350",
            "fax_number": "870-330-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN B SEDDENS DDSPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "SEDDENS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "870-330-7350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.