Gregory D Segraves, D.D.S., M.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5930 Issued in OK

Practice address

4716 W Urbana St Ste 100
Broken Arrow, OK 74012-6162

Phone

(918) 449-5800

Fax

(918) 455-8958

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2015 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Eastern Oklahoma Oral and Maxillofacial Surgeons

  • Oral and Maxillofacial Surgery (Dentist)
  • Broken Arrow, OK
  • NPI 1487074704
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1508073438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 W URBANA ST STE 100",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126162",
            "telephone_number": "918-449-5800",
            "fax_number": "918-455-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 W URBANA ST STE 100",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126162",
            "telephone_number": "918-449-5800",
            "fax_number": "918-455-8958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 S York St",
            "address_purpose": "LOCATION",
            "city": "Muskogee",
            "state": "OK",
            "postal_code": "744037672",
            "country_code": "US",
            "telephone_number": "918-449-5800",
            "fax_number": "918-455-8958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12802 E 101st Pl N",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740554662",
            "country_code": "US",
            "telephone_number": "918-274-0944",
            "fax_number": "918-455-8958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGRAVES",
        "first_name": "GREGORY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "141",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "5930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Seay, OTR/L
• Ashley M Seck, DPT
• Megan Sedlacek, RBT
• Rhonda Leann Sedlacek, PA
• Gerald Seefeldt, M.D.
• Zelda Faith Sellen, PHD
• Loren Sells
• Senior Citizens Nursing Center, Inc.
• Seniorvision of Oklahoma LLC
• Serenity Home Care LLC (HomeWell Care Services)

• Oral and Maxillofacial Surgery (Dentist) in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.