Individual provider Active NPI

Timothy James Seel, D.D.S.

  • General Practice Dentistry
  • Williamsville, NY
National Provider Identifier
1891843033
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
038318 Issued in NY
Practice address
6500 Main St
Suite 2
Williamsville, NY 14221-5854
Phone
(716) 633-7517
Fax
(716) 633-1350
NPI assigned
Jan 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 038318 NY Primary

Addresses

Primary practice location

6500 Main St
Suite 2
Williamsville, NY 14221-5854

Mailing address

6500 Main St
Suite 2
Williamsville, NY 14221-5854
Phone (716) 633-7517

Other identifiers 1

IdentifierTypeStateIssuer
00869012MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160916001745 NY Order and Referring Only - DentistPractitioner - Dentist 5890915474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038318NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891843033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 MAIN ST",
            "address_2": "SUITE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215854",
            "telephone_number": "716-633-7517",
            "fax_number": "716-633-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 MAIN ST",
            "address_2": "SUITE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215854",
            "telephone_number": "716-633-7517",
            "fax_number": "716-633-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEL",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00869012",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.