Debra E. Seznik, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13131 Issued in TX

Practice address

308 NW 2ND St Ste 1
Grand Prairie, TX 75050-5677

Phone

(972) 262-2546

Fax

(972) 642-2495

NPI assigned

Aug 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 22, 2016 through Feb 22, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962510701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 SAINT ALBANS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142317",
            "telephone_number": "972-262-2546",
            "fax_number": "972-642-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 NW 2ND ST STE 1",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505677",
            "telephone_number": "972-262-2546",
            "fax_number": "972-642-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEZNIK",
        "first_name": "DEBRA",
        "middle_name": "E.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Rose HCS
• Sermar Treat Homes LLC (Peace and Peace family services)
• Serve All Medical Grand Prairie, PLLC (Clinica Hispana)
• Roger Ken Setliff, P.T.
• Cynthia Sewoyeba, RN
• Riya Sanjay Shah
• Isheta Shahed, M.D.
• Shalom Coker 24 Hours Special Needs Daycare
• Shaneka Marks Moss DDS PC (Lavender Dental)
• Raushanah Taherrah Shareef-Jefferson, RDH, IBCLC

• General Practice Dentistry in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• General Practice Dentistry in Texas

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.