Jose Camilo Segura, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

18675 Issued in MA

Practice address

300 Granite St
Braintree, MA 02184-3909

Phone

(781) 843-7800

Fax

(781) 356-8182

NPI assigned

Jul 27, 2007

Last updated

Jul 27, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• South Shore Dental Group

  • Prosthodontics
  • Braintree, MA
  • NPI 1467562215
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1265622062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GRANITE ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021843909",
            "telephone_number": "781-843-7800",
            "fax_number": "781-356-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GRANITE ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021843909",
            "telephone_number": "781-843-7800",
            "fax_number": "781-356-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURA",
        "first_name": "JOSE",
        "middle_name": "CAMILO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "18675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Hansen Schumacher, LCMSW
• John E. Scola, M.D.
• Mary L Scott, M.D.
• Cassandra Scull
• Kristen Marie Seeto
• Natan Seidel, MD
• Patricia Seman, PTA
• Orion Seraph
• Natasha R Serrano, LMHC, NCC
• Sheryl Toby Shapiro, PSYD

• Prosthodontics in Braintree, MA
• Providers in Braintree, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.

Verify at the official NPI Registry.