Active NPI
Susan Michelle Seal, DDS
- Dentist
- Charlottesville, VA
National Provider Identifier
1972733756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401412547
- Practice address
- 259 Hydraulic Ridge Rd
Suite 101
Charlottesville, VA 22901-8128 - Phone
- (434) 293-9300
- NPI assigned
- Jul 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401412547 | VA | Primary |
Addresses
Primary practice location
259 Hydraulic Ridge Rd
Suite 101
Charlottesville, VA 22901-8128
Mailing address
PO Box 32
Nellysford, VA 22958-0032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401412547 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1972733756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32",
"city": "NELLYSFORD",
"state": "VA",
"postal_code": "229580032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 HYDRAULIC RIDGE RD",
"address_2": "SUITE 101",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229018128",
"telephone_number": "434-293-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEAL",
"first_name": "SUSAN",
"middle_name": "MICHELLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-15",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401412547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.