Individual provider Active NPI

Michael John Seelig, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clarksville, TN
National Provider Identifier
1801423710
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
11232 Issued in TN
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

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
11232TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Pediatric Dentistry and Orthodontics, PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Dec 10, 2023 Accepting new patients
Spark Dental TN, PLLC Orthodontics and Dentofacial Orthopedics PastSince Mar 1, 2020 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.

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.

Verify at the official NPI Registry.