NPIMap

Organization Active NPI

Daniel M Segal

  • Dentist
  • South Windsor, CT
National Provider Identifier
1285002063
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5000 Issued in CT
Legal business name
DANIEL M SEGAL
Practice address
1050 Sullivan Ave
South Windsor, CT 06074-2000
Phone
(860) 644-2476
Fax
(860) 644-1175
NPI assigned
Sep 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Dr. Daniel Segal, DMDNPI 1083787527
Title
Owner
Phone
(860) 644-2476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5000 CT Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1050 Sullivan Ave
South Windsor, CT 06074-2000

Mailing address

1050 Sullivan Ave
South Windsor, CT 06074-2000
Phone (860) 644-2476

National Provider Directory

National Provider Directory

Locations

1050 Sullivan Ave
South Windsor, CT 06074
Phone (860) 644-2476

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1285002063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SULLIVAN AVE",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742000",
            "telephone_number": "860-644-2476",
            "fax_number": "860-644-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SULLIVAN AVE",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742000",
            "telephone_number": "860-644-2476",
            "fax_number": "860-644-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL M SEGAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-644-2476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "5000",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.