Organization Active NPI

Segovia Orthodontics at Lakewood Ranch

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lakewood Ranch, FL
National Provider Identifier
1316757289
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SEGOVIA ORTHODONTICS AT LAKEWOOD RANCH
Practice address
5803 Braden Run
Lakewood Ranch, FL 34202-9402
Phone
(941) 557-1333
Fax
(941) 557-1311
NPI assigned
Jan 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Flor Segovia, DDSNPI 1932496031
Title
Owner
Phone
(941) 557-1333

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

5803 Braden Run
Lakewood Ranch, FL 34202-9402

Mailing address

5803 Braden Run
Lakewood Ranch, FL 34202-9402
Phone (941) 557-1333

National Provider Directory

National Provider Directory

Locations

5803 Braden Run
Lakewood Ranch, FL 34202
Phone (941) 557-1333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1316757289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 BRADEN RUN",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342029402",
            "telephone_number": "941-557-1333",
            "fax_number": "941-557-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 BRADEN RUN",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342029402",
            "telephone_number": "941-557-1333",
            "fax_number": "941-557-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGOVIA ORTHODONTICS AT LAKEWOOD RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-12",
        "status": "A",
        "authorized_official_last_name": "SEGOVIA",
        "authorized_official_first_name": "FLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-557-1333",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.