Nathalie C Selvanathan, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

54664 Issued in CA

Practice address

501 N Bridge Street
Visalia, CA 93291-5014

Phone

(559) 734-1939

Fax

(559) 734-4384

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1659430718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 EAST CENTER AVE.",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916331",
            "telephone_number": "559-737-4700",
            "fax_number": "559-737-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N BRIDGE STREET",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915014",
            "telephone_number": "559-734-1939",
            "fax_number": "559-734-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVANATHAN",
        "first_name": "NATHALIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54664",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "54664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "54664",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Thomas Seita, NP-C
• Christopher Lee Seitz, PA-C
• Loretta Christy Self, PHARM. D.
• Diane L Sellers, RN, LMFT
• Kraig Sells
• Chloe Noel Sena
• Jayasuriya Senthilvelan, MD
• Sequoia Anesthesiologists of Visalia
• Sequoia Behavioral Health a Professional Psychology Corporation
• Sequoia Behavioral Health a Professional Psychology Corporation

• Public Health Dentistry in Visalia, CA
• Providers in Visalia, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.

Verify at the official NPI Registry.