Organization Active NPI

John Selph, DMD, PLLC

  • Pediatric Dentistry
  • Hendersonville, NC
National Provider Identifier
1922849769
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JOHN SELPH, DMD, PLLC
Practice address
829 Fleming St Ste B
Hendersonville, NC 28791-3560
Phone
(440) 334-3874
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
John Selph, DMDNPI 1649704867
Title
Managing Member
Phone
(440) 334-3874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

829 Fleming St Ste B
Hendersonville, NC 28791-3560

Mailing address

3 Ben Hogan Dr
Hendersonville, NC 28739-8100
Phone (440) 334-3874

National Provider Directory

National Provider Directory

Locations

829 Fleming St
Ste B
Hendersonville, NC 28791
Phone (440) 334-3874

Practitioners & affiliated clinicians

Practitioners 1

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": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1922849769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BEN HOGAN DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287398100",
            "telephone_number": "440-334-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 FLEMING ST STE B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913560",
            "telephone_number": "440-334-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SELPH, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "SELPH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "440-334-3874",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.