Individual provider Active NPI

Andreen Sealey, D.D.S.

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1972816353
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105591 Issued in CA
Practice address
931 Howe Ave
Sacramento, CA 95825-3908
Phone
(916) 922-2027
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401413888 VA
General Practice Dentistry 1223G0001X 105591 CA Primary

Addresses

Primary practice location

931 Howe Ave
Sacramento, CA 95825-3908

Mailing address

931 Howe Ave
Sacramento, CA 95825-3908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160222001974 NY Order and Referring Only - DentistPractitioner - Dentist 8729383252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105591CAMDMental Health Counselor
0401413888VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Crooks, DDS, Inc General Practice CurrentSince Mar 4, 2021 Accepting new patients
Tremont Road Dental, PC General Practice Past Accepting new patients

Locations

931 Howe Ave
Sacramento, CA 95825
Phone (916) 922-2027

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1972816353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 HOWE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 HOWE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253908",
            "telephone_number": "916-922-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALEY",
        "first_name": "ANDREEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2021-03-18",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413888",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.