Grayson L Sellers, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10451 Issued in TX

Practice address

810 W Ocean Blvd C1
Los Tresnos, TX 78566

Phone

(956) 233-4400

Fax

(956) 233-5626

NPI assigned

Mar 24, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Grayson L. Sellers, DDS, PA

  • General Practice Dentistry
  • Los Fresnos, TX
  • NPI 1639316599
  NPD Authorized official
• Sellers Family Limited Partnership Alpha

  • Dentist
  • Los Fresnos, TX
  • NPI 1467155747
  NPD Authorized official
• Adam M Lalonde DDS, PA

  dba Los Fresnos Dental

  • General Practice Dentistry
  • Los Fresnos, TX
  • NPI 1932413705
  NPD

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1770543654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SAN ANTONIO CIR",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785664315",
            "telephone_number": "956-454-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W OCEAN BLVD C1",
            "city": "LOS TRESNOS",
            "state": "TX",
            "postal_code": "78566",
            "telephone_number": "956-233-4400",
            "fax_number": "956-233-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "GRAYSON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.