Don Louis Selmo, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5000491-015 Issued in WI

Practice address

1320 S Greenbay Rd
Racine, WI 53406-4406

Phone

(262) 637-9371

NPI assigned

Oct 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Racine Dental Group S C

  • Dentist
  • Racine, WI
  • NPI 1801941570

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831275312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 ROSALIND AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054918",
            "telephone_number": "262-554-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S GREENBAY RD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064406",
            "telephone_number": "262-637-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELMO",
        "first_name": "DON",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "5000491-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38393900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SE Wisconsin Chiropractic LLC
• Sandra Kay Seck, RN
• Karen Seif, LICSW
• Angela Seifert, NP
• Brooklyn Alyssa Seiler, RDN, CD, LDN
• Raye Marie Serratos, APNP, PMHNP-BC
• Gregg Allen Seyler, DDS
• Mahmood S Shaikh, MD
• Wali Khateeb Shakoor-Luqman I, RN
• Laura Shanafelt, PHARMD

• Oral and Maxillofacial Surgery (Dentist) in Racine, WI
• Providers in Racine, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.