Active NPI
Mark Selna, MD
- Pediatrics Physician
- Chapel Hill, NC
National Provider Identifier
1689201568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 98000388
- Practice address
- 13 Weybridge PL
Chapel Hill, NC 27517-8938 - Phone
- (415) 205-4479
- NPI assigned
- Mar 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 98000388 | NC | Primary |
Addresses
Primary practice location
13 Weybridge PL
Chapel Hill, NC 27517-8938
Mailing address
13 Weybridge PL
Chapel Hill, NC 27517-8938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98000388 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1689201568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 WEYBRIDGE PL",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275178938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 WEYBRIDGE PL",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275178938",
"telephone_number": "415-205-4479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELNA",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-23",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "98000388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.