Individual provider Active NPI

Jonathan Seard

  • Dentist
  • Cleveland, TN
National Provider Identifier
1699327189
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11099 Issued in TN
Practice address
609 Paul Huff Pkwy NW
Cleveland, TN 37312-2970
Phone
(423) 665-4100
NPI assigned
Jul 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11099 TN Primary

Addresses

Primary practice location

609 Paul Huff Pkwy NW
Cleveland, TN 37312-2970

Mailing address

609 Paul Huff Pkwy NW
Cleveland, TN 37312-2970
Phone (423) 665-4100

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Dental Professionals, PC CurrentSince Jul 25, 2019 Accepting new patients
Tennessee Dental Professionals, PC Past Accepting new patients

Locations

609 Paul Huff Pkwy NW
Cleveland, TN 37312
Phone (318) 233-6077

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1699327189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 PAUL HUFF PKWY NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122970",
            "telephone_number": "423-665-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 PAUL HUFF PKWY NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122970",
            "telephone_number": "423-665-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARD",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.