Active NPI
Stephanie Selecman Files, D.D.S.
- General Practice Dentistry
- Saint Joseph, MO
National Provider Identifier
1982706420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 015602
- Practice address
- 1429 Village Dr
Saint Joseph, MO 64506-2459 - Phone
- (816) 233-8668
- Fax
- (816) 233-5665
- NPI assigned
- Sep 4, 2006
- Last updated
- May 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 015602 | MO | Primary |
Addresses
Primary practice location
1429 Village Dr
Saint Joseph, MO 64506-2459
Mailing address
1429 Village Dr
Saint Joseph, MO 64506-2459
Phone (816) 233-8668
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 702950 | Other | KS | BLUE CROSS BLUE SHIELD KS |
| 740-09253 | Other | AL | BLUE CROSS BLUE SHIELD AL |
| 21204011 | Other | MO | BLUE CROSS BLUE SHIELD KC |
| DELTA DENTAL | Other | MO | INSURANCE I.D. NUMBER |
| 000626516 | Other | PA | UNITED CONCORDIA ID # |
| X0738842 | Other | CA | BLUE CROSS BLUE SHIELD CA |
| 710200000000MO | Other | MI | BLUE CROSS BLUE SHIELD MI |
Other names 1
- Dr. Stephanie Jeanette Selecman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160602002146 | MO | Order and Referring Only - Dentist | 1456641422 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1982706420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1429 VILLAGE DR",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062459",
"telephone_number": "816-233-8668",
"fax_number": "816-233-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 VILLAGE DR",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062459",
"telephone_number": "816-233-8668",
"fax_number": "816-233-5665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILES",
"first_name": "STEPHANIE",
"middle_name": "SELECMAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-04",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "015602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD KS",
"identifier": "702950",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD AL",
"identifier": "740-09253",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD KC",
"identifier": "21204011",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE I.D. NUMBER",
"identifier": "DELTA DENTAL",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA ID #",
"identifier": "000626516",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD CA",
"identifier": "X0738842",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MI",
"identifier": "710200000000MO",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "SELECMAN",
"middle_name": "JEANETTE",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.