Individual provider Active NPI

David G. Seccombe, DDS

  • General Practice Dentistry
  • Claremont, CA
National Provider Identifier
1780687343
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28236 Issued in CA
Practice address
101 N Indian Hill Blvd Ste C1-205
Claremont, CA 91711-4667
Phone
(909) 347-5362
Fax
(888) 506-7875
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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 28236 CA Primary

Addresses

Primary practice location

101 N Indian Hill Blvd Ste C1-205
Claremont, CA 91711-4667

Mailing address

101 N Indian Hill Blvd Ste C1-205
Claremont, CA 91711-4667
Phone (909) 626-5662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28236CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
David Seccombe Dental Corporation PastSince Oct 8, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1780687343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N INDIAN HILL BLVD STE C1-205",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114667",
            "telephone_number": "909-626-5662",
            "fax_number": "888-506-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N INDIAN HILL BLVD STE C1-205",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114667",
            "telephone_number": "909-347-5362",
            "fax_number": "888-506-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECCOMBE",
        "first_name": "DAVID",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2023-10-04",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.