Active NPI
Juehwan Sea, D.D.S
- Dentist
- Baytown, TX
National Provider Identifier
1871931071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30817
- Practice address
- 1410 Cedar Bayou Rd
Baytown, TX 77520-2932 - Phone
- (281) 837-9090
- Fax
- (281) 837-9050
- NPI assigned
- Jun 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30817 | TX | Primary |
Addresses
Primary practice location
1410 Cedar Bayou Rd
Baytown, TX 77520-2932
Mailing address
1410 Cedar Bayou Rd
Baytown, TX 77520-2932
Phone (281) 837-9090
Other practice location 1
1 Southtowne Dr
Potosi, MO 63664-5729
Phone (573) 438-8401
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30817 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Dental PLLC | Past | Accepting new patients |
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.
-
- Dental Clinic/Center
- Baytown, TX
- NPI 1053847400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1871931071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 CEDAR BAYOU RD",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775202932",
"telephone_number": "281-837-9090",
"fax_number": "281-837-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 CEDAR BAYOU RD",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775202932",
"telephone_number": "281-837-9090",
"fax_number": "281-837-9050"
}
],
"practiceLocations": [
{
"address_1": "1 Southtowne Dr",
"address_purpose": "LOCATION",
"city": "Potosi",
"state": "MO",
"postal_code": "636645729",
"country_code": "US",
"telephone_number": "573-438-8401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEA",
"first_name": "JUEHWAN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-10",
"last_updated": "2022-07-28",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "TX",
"license": "30817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.