Jay Kevin Selznick, D.M.D., M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2893 Issued in NV

Practice address

8350 W Sahara Ave Ste 190
Las Vegas, NV 89117-8942

Phone

(702) 436-9090

Fax

(702) 436-3535

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 19, 2020 through Jun 19, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1760550552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 W SAHARA AVE STE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178942",
            "telephone_number": "702-436-9090",
            "fax_number": "702-436-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 W SAHARA AVE STE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178942",
            "telephone_number": "702-436-9090",
            "fax_number": "702-436-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELZNICK",
        "first_name": "JAY",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-09-30",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "2893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509554",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02679770",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202788",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liliah Catherine Seluk, BS
• Megan Selvage
• Michelle Selvey
• Selwyn Kidney MD LTD
• Hugh S Selznick, M.D.
• Rozele Semana
• Maria Ivanovna Semenihina, BST
• Toni Semenza
• Dylan Semerau
• Tagui Semerdzhyan

• Oral and Maxillofacial Surgery (Dentist) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.