Mikhail Roel Seguritan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

045789 Issued in NY

Practice address

57 W 58TH St
2
New York, NY 10019-1630

Phone

(212) 688-2452

Fax

(212) 223-8126

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1720129661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W 58TH ST",
            "address_2": "2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191630",
            "telephone_number": "212-688-2452",
            "fax_number": "212-223-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 58TH ST",
            "address_2": "2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191630",
            "telephone_number": "212-688-2452",
            "fax_number": "212-223-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURITAN",
        "first_name": "MIKHAIL",
        "middle_name": "ROEL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "045789",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn E. Segura-Malady
• Alberto Domingo Segura, M.D.
• Pamela Lantigua Segura, CASAC-T
• Sabrina Segura, PA-C
• Sheila Elaika Segura, M.D.
• Jenny Clarissa Seham, PHD
• Vinita Sehgal, MD
• Mark Sehl, PHD, LCSW
• Rima Bachiman Sehl, D.D.S.
• Mantej Singh Sehmbhi

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.