Phillip M Seim, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

45773 Issued in CA

Practice address

79600 Baya
La Quinta, CA 92253-6599

Phone

(760) 408-8014

NPI assigned

Jun 30, 2005

Sex

Male

Sole proprietor

Yes

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

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

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.

• Kreizenbeck Seim Professional Partnership

  • Oral and Maxillofacial Surgery Clinic/Center
  • Rancho Mirage, CA
  • NPI 1073703922
  NPD (past)
• Mirage Ambulatory Surgery Center, Inc

  • Oral and Maxillofacial Surgery Clinic/Center
  • Rancho Mirage, CA
  • NPI 1154644193
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1679570972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79600 BAYA",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922536599",
            "telephone_number": "760-408-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79600 BAYA",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922536599",
            "telephone_number": "760-408-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIM",
        "first_name": "PHILLIP",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "45773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda D Schmitz, FNP
• Brian Joseph Schneekloth, DPM
• Gwen Cathy Schroeder, REGISTERED NURSE
• Sasha Scofield
• Harrison Lorne Scott
• Larry Selkow, RPH
• Dezireh Sevanesian, D.D.S.
• Shayan Zoghi
• Sheri Wen Hsu, M.D., Inc
• Sheri Wen Hsu, M.D., Inc

• Oral and Maxillofacial Surgery (Dentist) in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.