Susan Virginia Seybold, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

13027 Issued in TX

Practice address

6655 Travis St
460
Houston, TX 77030-1312

Phone

(713) 500-8220

NPI assigned

Sep 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The University of Texas Health Science Center at Houston

  • Pediatric Dentistry
  • Houston, TX
  • NPI 1104865013
  NPD (past)
• Ut Physicians

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1033157821
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1659566776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 TRAVIS ST",
            "address_2": "460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301312",
            "telephone_number": "713-500-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 TRAVIS ST",
            "address_2": "460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301312",
            "telephone_number": "713-500-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYBOLD",
        "first_name": "SUSAN",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "13027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Kristen Sexson Tejtel, M.D, PH.D.
• John Alan Sexton, D.D.S.
• Jourdan Sexton, BCBA
• Russell C Sexton Jr., DO
• Agatha A Sey Natter, NP
• Maryam Seyedain, MD
• Cori Anne Seyhoon, D.C.
• Seyi Financial Inc
• Emma Seymour, PA-C
• Michelle Seymour, MD, PHD

• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.