Organization Active NPI

Randy G Seely DDS PC

  • Pediatric Dentistry
  • Lewisville, TX
National Provider Identifier
1811097314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12386 Issued in TX
Legal business name
RANDY G SEELY DDS PC
Practice address
326 S Edmonds LN
101
Lewisville, TX 75067-3580
Phone
(972) 436-9121
NPI assigned
Sep 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Randy Seely, DDS
Title
Owner/ Pres.
Phone
(972) 436-9121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 12386 TX Primary

Addresses

Primary practice location

326 S Edmonds LN
101
Lewisville, TX 75067-3580

Mailing address

326 S Edmonds LN
101
Lewisville, TX 75067-3580
Phone (972) 436-9121

National Provider Directory

National Provider Directory

Locations

326 S Edmonds Ln
Ste 101
Lewisville, TX 75067
Phone (469) 616-2030

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811097314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 S EDMONDS LN",
            "address_2": "101",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673580",
            "telephone_number": "972-436-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S EDMONDS LN",
            "address_2": "101",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673580",
            "telephone_number": "972-436-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY G SEELY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEELY",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER/ PRES.",
        "authorized_official_telephone_number": "972-436-9121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "12386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.