Individual provider Active NPI

Brian Gregory Seaholm, DMD

  • Dentist
  • Tillamook, OR
National Provider Identifier
1831179746
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6110 Issued in OR
Practice address
1103 3Rd St
Tillamook, OR 97141-3402
Phone
(503) 842-6268
Fax
(503) 842-1366
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D6110 OR Primary

Addresses

Primary practice location

1103 3Rd St
Tillamook, OR 97141-3402

Mailing address

3300 Alla LN
Tillamook, OR 97141-9016
Phone (503) 842-6268

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
D6110ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin Zike DDS Past Accepting new patients
Thompson Mainstay LLC PastSince Dec 8, 2024 Accepting new patients

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831179746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 ALLA LN",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419016",
            "telephone_number": "503-842-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 3RD ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413402",
            "telephone_number": "503-842-6268",
            "fax_number": "503-842-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAHOLM",
        "first_name": "BRIAN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D6110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tillamook, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.