Individual provider Active NPI

Marcia Kay Segura, DC

  • Chiropractor
  • Fort Thomas, KY
National Provider Identifier
1659315422
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3766 Issued in KY
Practice address
1419 Alexandria Pike Ste B
Fort Thomas, KY 41075-2540
Phone
(859) 441-6058
Fax
(859) 441-3092
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3766 KY Primary

Addresses

Primary practice location

1419 Alexandria Pike Ste B
Fort Thomas, KY 41075-2540

Mailing address

1419 Alexandria Pike Ste B
Fort Thomas, KY 41075-2540
Phone (859) 441-6058

Other identifiers 2

IdentifierTypeStateIssuer
000000048687OtherKYANTHEM
85002095MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3766KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Specialists of Greater Cincinnati Past Accepting new patients
Foot Specialists of Greater Cincinnati Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1659315422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 ALEXANDRIA PIKE STE B",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752540",
            "telephone_number": "859-441-6058",
            "fax_number": "859-441-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 ALEXANDRIA PIKE STE B",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752540",
            "telephone_number": "859-441-6058",
            "fax_number": "859-441-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURA",
        "first_name": "MARCIA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000048687",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002095",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Thomas, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.