Active NPI
Audrey Marie Selecman, BA, DDS, MDS
- Prosthodontics
- Memphis, TN
National Provider Identifier
1902080666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DS0000008708
- Practice address
- 875 Union Avenue
Dept. of Restorative Dentistry
Memphis, TN 38163-0001 - Phone
- (901) 448-6101
- Fax
- (901) 448-1294
- NPI assigned
- Dec 18, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DS0000008708 | TN | Primary |
Addresses
Primary practice location
875 Union Avenue
Dept. of Restorative Dentistry
Memphis, TN 38163-0001
Mailing address
910 Madison Avenue
Suite 608
Memphis, TN 38163-0001
Phone (901) 448-6476
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000008708 | TN | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1902080666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 MADISON AVENUE",
"address_2": "SUITE 608",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381630001",
"telephone_number": "901-448-6476",
"fax_number": "901-448-1294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 UNION AVENUE",
"address_2": "DEPT. OF RESTORATIVE DENTISTRY",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381630001",
"telephone_number": "901-448-6101",
"fax_number": "901-448-1294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELECMAN",
"first_name": "AUDREY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "BA, DDS, MDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "TN",
"license": "DS0000008708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
- Erin Cannon Sego, PHARMD
- Efrain Segura
- Kenyi Segura, MD
- Sehperds Touch in Home Health Care LLC
- Deborah Henderson Selak, ARNP
- Select Physical Therapy Holdings, Inc.
- Select Quality Home Care Agency, Inc.
- Select Services of Memphis Inc
- Select Services of Memphis Inc
- Select Specialty Hospital - Memphis Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.