Active NPI
Cheryl S. Sellers D.D.S. P.a.
Doing business as Children's Dental Ark
- Pediatric Dentistry
- New Braunfels, TX
National Provider Identifier
1801843289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- CHERYL S. SELLERS D.D.S. P.A.
- Doing business as
- Children's Dental Ark
- Practice address
- 610 Landa Street
New Braunfels, TX 78130 - Phone
- (830) 625-1234
- Fax
- (830) 625-3266
- NPI assigned
- May 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cheryl Stasny Sellers, DDS
- Title
- President
- Phone
- (830) 625-1234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
610 Landa Street
New Braunfels, TX 78130
Mailing address
610 Landa Street
New Braunfels, TX 78130
Phone (830) 625-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160235101 | Medicaid | TX |
Other names 1
- Children's Dental Ark
National Provider Directory
National Provider Directory- Tax ID family
- Cheryl S Sellers DDS PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Cheryl Sellers DDS PA dba Children's Dental Ark
- Pediatric Dentistry
- Spring Branch, TX
- NPI 1811249659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333411200000",
"number": "1801843289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 LANDA STREET",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "78130",
"telephone_number": "830-625-1234",
"fax_number": "830-625-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 LANDA STREET",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "78130",
"telephone_number": "830-625-1234",
"fax_number": "830-625-3266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHERYL S. SELLERS D.D.S. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-30",
"last_updated": "2012-04-03",
"status": "A",
"authorized_official_last_name": "SELLERS",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "STASNY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "830-625-1234",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160235101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Children's Dental Ark",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.