Active NPI
Michael John Seelig, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Clarksville, TN
National Provider Identifier
1801423710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 11232
- Practice address
- 495 Dunlop LN Ste 112
Clarksville, TN 37040-5296 - Phone
- (931) 221-0052
- NPI assigned
- Mar 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11232 | TN | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 11232 | TN | Primary |
Addresses
Primary practice location
495 Dunlop LN Ste 112
Clarksville, TN 37040-5296
Mailing address
116 Creighton Ave
Nashville, TN 37206-2204
Phone (314) 306-0003
Other practice location 1
277 Veterans Pkwy Ste A
Murfreesboro, TN 37128-1077
Phone (615) 713-1993
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11232 | TN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Pediatric Dentistry and Orthodontics, PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Spark Dental TN, PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Locations
1921 Nashville Pike
Ste 200
Gallatin, TN 37066
Phone (314) 306-0003
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Gallatin, TN
- NPI 1194591875
Orthodontics and Dentofacial Orthopedics
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Smyrna, TN
- NPI 1154087120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1801423710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 CREIGHTON AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372062204",
"telephone_number": "314-306-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 DUNLOP LN STE 112",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405296",
"telephone_number": "931-221-0052"
}
],
"practiceLocations": [
{
"address_1": "277 Veterans Pkwy Ste A",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "371281077",
"country_code": "US",
"telephone_number": "615-713-1993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEELIG",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-23",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "11232",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TN",
"license": "11232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.