Sellers DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SELLERS DMD PC

Practice address

454 W Roseberry Road Suite 106
Donnelly, ID 83615

Phone

(208) 515-1466

NPI assigned

Sep 1, 2026

Last updated

Sep 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chad Sellers, DMDNPI 1043836836

Title

Ceo

Phone

(208) 515-1466

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad Evan Sellers, DMD

  • General Practice Dentistry
  • Nampa, ID
  • NPI 1043836836
  Authorized official Same address or phone

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1932017530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836381810",
            "telephone_number": "208-634-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 W ROSEBERRY ROAD SUITE 106",
            "city": "DONNELLY",
            "state": "ID",
            "postal_code": "83615",
            "telephone_number": "208-515-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELLERS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-515-1466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annalee Mangum, RN
• McCall Memorial Hospital (Donnelly Medical Clinic, a MMH Physician Clinic)
• Mountain Mobile Medicine, PLLC
• Payette Lakes Medical Clinic, PA
• Taylor Rae, P-LCSW
• Kimberly Ruth Smith, RN, BSN, CLC
• Kathryn Latham Stoll, LMFT
• Tamarack Medical Clinic
• Mont B Tolman, DO

• General Practice Dentistry in Donnelly, ID
• Providers in Donnelly, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.