Organization Active NPI

Maria Claudia Segrera PA

  • Dental Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1710415294
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARIA CLAUDIA SEGRERA PA
Practice address
16636 Sheridan St
Fort Lauderdale, FL 33331-4128
Phone
(954) 228-6661
NPI assigned
May 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Maria Segrera, DMD
Title
Doctor
Phone
(954) 228-6661

Specialties & licenses 1

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

Addresses

Primary practice location

16636 Sheridan St
Fort Lauderdale, FL 33331-4128

Mailing address

16636 Sheridan St
Fort Lauderdale, FL 33331-4128
Phone (954) 228-6661

Other names 1

  • Dental Clinique Doing business as

National Provider Directory

National Provider Directory

Locations

16636 Sheridan St
Fort Lauderdale, FL 33331
Phone (954) 228-6661

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710415294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16636 SHERIDAN ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333314128",
            "telephone_number": "954-228-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16636 SHERIDAN ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333314128",
            "telephone_number": "954-228-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA CLAUDIA SEGRERA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SEGRERA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "954-228-6661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Clinique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Clinique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.