Individual provider Active NPI

Sidney Sease, DDS

  • Dentist
  • Columbia, SC
National Provider Identifier
1821738873
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DGD.10245 Issued in SC
Practice address
10266 Two Notch Rd Ste C
Columbia, SC 29229-4400
Phone
(803) 865-9334
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DGD.10245 SC
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DGD.10245 SC Primary

Addresses

Primary practice location

10266 Two Notch Rd Ste C
Columbia, SC 29229-4400

Mailing address

10266 Two Notch Rd Ste C
Columbia, SC 29229-4400
Phone (803) 865-9334

Other practice location 1

345 E 24th St
New York, NY 10010-4020
Phone (212) 998-9680

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
DGD.10245SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ag Dental LLC General Practice CurrentSince Aug 7, 2022 Accepting new patients

Locations

10266 Two Notch Rd
Ste C
Columbia, SC 29229
Phone (803) 865-9334

Interoperability endpoints

  • Direct secure messaging: sidney.sease.p1@direct.scdc.nextgenshare.com

Organizations & group practices 1

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1821738873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10266 TWO NOTCH RD STE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292294400",
            "telephone_number": "803-865-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10266 TWO NOTCH RD STE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292294400",
            "telephone_number": "803-865-9334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 E 24th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100104020",
            "country_code": "US",
            "telephone_number": "212-998-9680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEASE",
        "first_name": "SIDNEY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.10245",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD.10245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.