NPIMap

Organization Active NPI

Robert Lee Segrest

  • Dental Clinic/Center
  • Huntsville, AL
National Provider Identifier
1306196464
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5915 Issued in AL
Legal business name
ROBERT LEE SEGREST
Practice address
1101 Eagletree LN SW
Huntsville, AL 35801-6447
Phone
(256) 881-9034
Fax
(256) 881-6782
NPI assigned
Sep 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Dr. Robert Lee Segrest, D.M.D.NPI 1225391931
Title
Dentist
Phone
(256) 881-9034

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5915 AL Primary

Addresses

Primary practice location

1101 Eagletree LN SW
Huntsville, AL 35801-6447

Mailing address

1101 Eagletree LN SW
Huntsville, AL 35801-6447
Phone (256) 881-9034

National Provider Directory

National Provider Directory

Locations

1101 Eagletree Ln SW
Huntsville, AL 35801
Phone (256) 881-9034

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": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1306196464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 EAGLETREE LN SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016447",
            "telephone_number": "256-881-9034",
            "fax_number": "256-881-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 EAGLETREE LN SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016447",
            "telephone_number": "256-881-9034",
            "fax_number": "256-881-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LEE SEGREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "SEGREST",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "256-881-9034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "5915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.