Active NPI
Kreigh Sedillo, DDS
- Dentist
- Visalia, CA
National Provider Identifier
1720097934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42771
- Practice address
- 215 E Caldwell Ave Ste B
Visalia, CA 93277 - Phone
- (559) 734-7035
- Fax
- (559) 734-2890
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 42771 | CA | Primary |
Addresses
Primary practice location
215 E Caldwell Ave Ste B
Visalia, CA 93277
Mailing address
215 E Caldwell Ave Ste B
Visalia, CA 93277-7605
Phone (559) 734-7035
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1720097934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E CALDWELL AVE STE B",
"city": "VISALIA",
"state": "CA",
"postal_code": "932777605",
"telephone_number": "559-734-7035",
"fax_number": "559-734-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E CALDWELL AVE STE B",
"city": "VISALIA",
"state": "CA",
"postal_code": "93277",
"telephone_number": "559-734-7035",
"fax_number": "559-734-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDILLO",
"first_name": "KREIGH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "42771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.