David K Severson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.023400 Issued in OH

Practice address

1040 Trump Rd NW
Carrollton, OH 44615-9472

Phone

(218) 831-3674

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• TD Dental LLC

  • Public Health Dentistry
  • Akron, OH
  • NPI 1932964400
  NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1770535544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 TRUMP RD NW",
            "address_2": "P.O. BOX297",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446159472",
            "telephone_number": "218-831-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 TRUMP RD NW",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446159472",
            "telephone_number": "218-831-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "DAVID",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5772-015",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "30.023400",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3149346",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S. C. Dowell, DDS, LLC
• Antonio Scassa, BSN RN MSN CNP
• Leann Schaar, LPTA
• Sabrina Grace Seal
• Senior Suites at Century Farms
• Karen Shellenbarger, PTA
• Julie Ann Shockey
• Todd Michael Sigler, RPH
• Danielle Simon
• Gregory L Smith

• Dentist in Carrollton, OH
• Providers in Carrollton, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.