Active NPI
Thomas Charles Sellett, DDS
- General Practice Dentistry
- Schaumburg, IL
National Provider Identifier
1780608927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Practice address
- 890 E Higgins Rd
Suite 152
Schaumburg, IL 60173-4799 - Phone
- (847) 517-7500
- Fax
- (847) 517-7501
- NPI assigned
- Jul 27, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Primary |
Addresses
Primary practice location
890 E Higgins Rd
Suite 152
Schaumburg, IL 60173-4799
Mailing address
890 E Higgins Rd
Suite 152
Schaumburg, IL 60173-4799
Phone (847) 517-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150529000909 | IL | Order and Referring Only - Dentist | 0143540310 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780608927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 E HIGGINS RD",
"address_2": "SUITE 152",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734799",
"telephone_number": "847-517-7500",
"fax_number": "847-517-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 E HIGGINS RD",
"address_2": "SUITE 152",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734799",
"telephone_number": "847-517-7500",
"fax_number": "847-517-7501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLETT",
"first_name": "THOMAS",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.