Active NPI
Julia Regina Segal, DMD
- Endodontics
- Beachwood, OH
National Provider Identifier
1063072981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 30.027420
- Practice address
- 3690 Orange PL Ste 455
Beachwood, OH 44122-4438 - Phone
- (216) 360-0090
- NPI assigned
- Jun 13, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS042587 | PA | |
| Endodontics | 1223E0200X | 30.027420 | OH | Primary |
Addresses
Primary practice location
3690 Orange PL Ste 455
Beachwood, OH 44122-4438
Mailing address
3690 Orange PL Ste 455
Beachwood, OH 44122-4438
Phone (216) 360-0090
Other practice location 1
1 Woodhaven Mall Ste 106
Bensalem, PA 19020-5609
Phone (215) 302-1768
Other practice location 2
450 Chew St
Allentown, PA 18102-3434
Phone (610) 776-4802
Other practice location 3
550 Fairview Rd
Woodlyn, PA 19094-1014
Phone (484) 482-8357
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 |
|---|---|---|---|
| 30.027420 | OH | MD | Endodontist |
| DS042587 | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1063072981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3690 ORANGE PL STE 455",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441224438",
"telephone_number": "216-360-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3690 ORANGE PL STE 455",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441224438",
"telephone_number": "216-360-0090"
}
],
"practiceLocations": [
{
"address_1": "1 Woodhaven Mall Ste 106",
"address_purpose": "LOCATION",
"city": "Bensalem",
"state": "PA",
"postal_code": "190205609",
"country_code": "US",
"telephone_number": "215-302-1768",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Chew St",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181023434",
"country_code": "US",
"telephone_number": "610-776-4802",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 Fairview Rd",
"address_purpose": "LOCATION",
"city": "Woodlyn",
"state": "PA",
"postal_code": "190941014",
"country_code": "US",
"telephone_number": "484-482-8357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEGAL",
"first_name": "JULIA",
"middle_name": "REGINA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-13",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS042587",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OH",
"license": "30.027420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.