Individual provider Active NPI

Thomas Charles Sellett, DDS

  • General Practice Dentistry
  • Schaumburg, IL
National Provider Identifier
1780608927
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150529000909 IL Order and Referring Only - DentistPractitioner - 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

Verify at the official NPI Registry.