Individual provider Active NPI

Seth Dean Dotherow, D.M.D.

  • General Practice Dentistry
  • Flowood, MS
National Provider Identifier
1720439094
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3865-16 Issued in MS
Practice address
105 Belle Meade PT
Flowood, MS 39232-3309
Phone
(601) 919-8575
Fax
(601) 919-8577
NPI assigned
Jun 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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 3865-16 MS Primary

Addresses

Primary practice location

105 Belle Meade PT
Flowood, MS 39232-3309

Mailing address

105 Belle Meade PT
Flowood, MS 39232-3309
Phone (601) 919-8575

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3865-16MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cox Dental PA General Practice Past Accepting new patients

Organizations & group practices 1

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1720439094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BELLE MEADE PT",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323309",
            "telephone_number": "601-919-8575",
            "fax_number": "601-919-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BELLE MEADE PT",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323309",
            "telephone_number": "601-919-8575",
            "fax_number": "601-919-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTHEROW",
        "first_name": "SETH",
        "middle_name": "DEAN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3865-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.