Individual provider Active NPI

Kara J. Sepp, DMD.

  • General Practice Dentistry
  • Connellsville, PA
National Provider Identifier
1659583979
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS027678L Issued in PA
Practice address
674 Vanderbilt Rd
Connellsville, PA 15425-6216
Phone
(724) 628-7760
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS027678L PA Primary

Addresses

Primary practice location

674 Vanderbilt Rd
Connellsville, PA 15425-6216

Mailing address

674 Vanderbilt Rd
Connellsville, PA 15425-6216
Phone (724) 628-7760

Other identifiers 1

IdentifierTypeStateIssuer
966276OtherPAUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20171110000325 PA Order and Referring Only - DentistPractitioner - Dentist 4981960747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659583979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 VANDERBILT RD",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154256216",
            "telephone_number": "724-628-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 VANDERBILT RD",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154256216",
            "telephone_number": "724-628-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPP",
        "first_name": "KARA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DMD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027678L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "966276",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

Verify at the official NPI Registry.