Richard F. Sellman, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

23035 Issued in CA

Practice address

418 Aviation Blvd Ste a
Santa Rosa, CA 95403-1074

Phone

(707) 575-9105

Fax

(707) 575-5190

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952516510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 AVIATION BLVD STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031074",
            "telephone_number": "707-575-9105",
            "fax_number": "707-575-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 AVIATION BLVD STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031074",
            "telephone_number": "707-575-9105",
            "fax_number": "707-575-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLMAN",
        "first_name": "RICHARD",
        "middle_name": "F.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "23035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonina Elizabeth Cutrufelli Selfridge
• Sandra Ellen Seligson X, PH.D.
• Aldar Selimovic, MSN, PMHNP-BC
• David Sell
• Karin Annette Sellite
• Aurora Alejandra Gomez Selpides, MD, MPH
• Pocholo Jose Ignacio Selpides, MD
• Jason Selvage, M.A.
• Christina Semeski
• L Reyna Seminara, MFT

• Dentist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.