Organization Active NPI

Davidrandalsealemdpllc

  • Psychiatry Physician
  • Knoxville, TN
National Provider Identifier
1902239064
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
31518 Issued in TN
Legal business name
DAVIDRANDALSEALEMDPLLC
Practice address
8870 Cedar Springs LN
Suite 209
Knoxville, TN 37923-5407
Phone
(865) 690-4050
Fax
(865) 690-0720
NPI assigned
Aug 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Dr. David Randal Seale, M.D.
Title
President
Phone
(865) 690-4050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 31518 TN Primary

Addresses

Primary practice location

8870 Cedar Springs LN
Suite 209
Knoxville, TN 37923-5407

Mailing address

8870 Cedar Springs LN
Suite 209
Knoxville, TN 37923-5407
Phone (865) 690-4050

Other identifiers 1

IdentifierTypeStateIssuer
3853991MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1902239064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8870 CEDAR SPRINGS LN",
            "address_2": "SUITE 209",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235407",
            "telephone_number": "865-690-4050",
            "fax_number": "865-690-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 CEDAR SPRINGS LN",
            "address_2": "SUITE 209",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235407",
            "telephone_number": "865-690-4050",
            "fax_number": "865-690-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDRANDALSEALEMDPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "SEALE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RANDAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-690-4050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "31518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3853991",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.