Individual provider Active NPI

Maikel Segui, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Coral Springs, FL
National Provider Identifier
1023219771
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN16491 Issued in FL
Practice address
2123 N University Dr
Coral Springs, FL 33071-6134
Phone
(954) 752-9065
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN16491 FL Primary

Addresses

Primary practice location

2123 N University Dr
Coral Springs, FL 33071-6134

Mailing address

6165 NW 99TH Way
Parkland, FL 33076-2573
Phone (305) 519-6037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130513000268 FL Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 2668619594 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN16491FLMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Maikel Segui DDS PA Oral and Maxillofacial Surgery CurrentSince Mar 24, 2013 Accepting new patients

Locations

2123 N University Dr
Coral Springs, FL 33071
Phone (954) 341-4766

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

Organizations & group practices 1

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1023219771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 NW 99TH WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762573",
            "telephone_number": "305-519-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716134",
            "telephone_number": "954-752-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGUI",
        "first_name": "MAIKEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN16491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.