Individual provider Active NPI

Jane Karen Segal, D.M.D.,M.D.S.

  • Periodontics
  • Allison Park, PA
National Provider Identifier
1346459930
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS022405L Issued in PA
Practice address
4036 Jupiter Dr
Allison Park, PA 15101-3171
Phone
(412) 487-0220
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS022405L PA Primary
Periodontics 1223P0300X 30.018182 OH

Addresses

Primary practice location

4036 Jupiter Dr
Allison Park, PA 15101-3171

Mailing address

4036 Jupiter Dr
Allison Park, PA 15101-3171
Phone (412) 487-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160526000232 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1456641877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.018182OHMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346459930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 JUPITER DR",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151013171",
            "telephone_number": "412-487-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 JUPITER DR",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151013171",
            "telephone_number": "412-487-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "JANE",
        "middle_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,M.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS022405L",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30.018182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allison Park, PA

Sources for this page

Verify at the official NPI Registry.