NPIMap

Organization Active NPI

Children's Dental Ark

Doing business as Cheryl Sellers DDS PA dba Children's Dental Ark

  • Pediatric Dentistry
  • Spring Branch, TX
National Provider Identifier
1811249659
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11935 Issued in TX
Legal business name
CHILDREN'S DENTAL ARK
Doing business as
Cheryl Sellers DDS PA dba Children's Dental Ark
Practice address
19750 State Hwy 46 W
Ste. 105
Spring Branch, TX 78070-6881
Phone
(830) 625-1222
Fax
(830) 625-3266
NPI assigned
Oct 3, 2012
Last updated
Oct 3, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S DENTAL ARKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Mrs. Cheryl Stasny Sellers, DDSNPI 1265616593
Title
President
Phone
(830) 625-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 11935 TX Primary

Addresses

Primary practice location

19750 State Hwy 46 W
Ste. 105
Spring Branch, TX 78070-6881

Mailing address

610 Landa St.
New Braunfels, TX 78130-6112
Phone (830) 625-1234

Other identifiers 1

IdentifierTypeStateIssuer
160235101MedicaidTX

Other names 1

  • Cheryl Sellers DDS PA dba Children's Dental Ark Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cheryl S Sellers DDS PA2 organizations share this tax ID, including this one
Part of
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.

Locations

610 Landa St
New Braunfels, TX 78130
Phone (830) 625-1234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1811249659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 LANDA ST.",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306112",
            "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": "19750 STATE HWY 46 W",
            "address_2": "STE. 105",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706881",
            "telephone_number": "830-625-1222",
            "fax_number": "830-625-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL ARK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S DENTAL ARK",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "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": "TX",
            "license": "11935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160235101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheryl Sellers DDS PA dba Children's Dental Ark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Branch, TX

Sources for this page

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

Verify at the official NPI Registry.