Seayoon An

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN1858968 Issued in MA

Practice address

413 Broadway # B
Methuen, MA 01844-2062

Phone

(978) 258-1363

NPI assigned

Jul 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Seayoon An Other name

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 and National Provider Directory roles.

• Dental Dreams LLC

  • Dentist
  • Lynn, MA
  • NPI 1417481714
  NPD (past)
• Familia Dental Champaign LLC

  • General Practice Dentistry
  • Champaign, IL
  • NPI 1982094462
  NPD (past)

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1851815369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 BROADWAY # B",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442062",
            "telephone_number": "978-258-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BROADWAY # B",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442062",
            "telephone_number": "978-258-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AN",
        "first_name": "SEAYOON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1858968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEAYOON",
            "last_name": "AN",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alternative Home Health Care, LLC
• Sujitha Amalanayagam
• Amazing Family Dental
• American Prosthetics Inc
• Alexander Amico, L.C.S.W.
• Mary Katharine Anderson, DO
• Andrew E Lyons DMD LLC
• Stephen Joseph Angelo, O.D.
• Melissa Annis, LMT
• Essam Ansari, M.D.

• All providers in Methuen, MA
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.