Active NPI
Sean Geary, D.M.D.
- Endodontics
- West St Paul, MN
National Provider Identifier
1730560483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- D14032
- Practice address
- 2036 Robert St S
West St Paul, MN 55118 - Phone
- (651) 457-5762
- NPI assigned
- Jun 17, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857141 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endodontics | 1223E0200X | D14032 | MN | Primary |
Addresses
Primary practice location
2036 Robert St S
West St Paul, MN 55118
Mailing address
941 Penny LN
Ballwin, MO 63011-2846
Other practice location 1
1 Kneeland St
Boston, MA 02111-1527
Phone (314) 680-8971
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857141 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sean Geary Endodontics LLC | Endodontics | Current | Accepting new patients |
| Northland Dental Partners, PLLC | Past | Accepting new patients |
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.
-
- Endodontics
- Boynton Beach, FL
- NPI 1174349369
-
- General Practice Dentistry
- West St Paul, MN
- NPI 1225771959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1730560483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 PENNY LN",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2036 ROBERT ST S",
"city": "WEST ST PAUL",
"state": "MN",
"postal_code": "55118",
"telephone_number": "651-457-5762"
}
],
"practiceLocations": [
{
"address_1": "1 Kneeland St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021111527",
"country_code": "US",
"telephone_number": "314-680-8971",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEARY",
"first_name": "SEAN",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-17",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1857141",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "MN",
"license": "D14032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.