Individual provider Active NPI

Maria Lucia Segura, D.M.D

  • Pediatric Dentistry
  • Brockton, MA
National Provider Identifier
1811018922
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
19883 Issued in MA
Practice address
304 Pleasant St.
Brockton, MA 02401
Phone
(508) 588-0094
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 19883 MA Primary

Addresses

Primary practice location

304 Pleasant St.
Brockton, MA 02401

Mailing address

100 Village Dr
Quincy, MA 02169-0946
Phone (617) 472-2643

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19883MAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Maria L Segura DMD, PC Pediatric Dentistry CurrentSince Jan 8, 2023 Accepting new patients
Efrain S. Ruiz Pediatric Dentistry Past Accepting new patients

Locations

304 Pleasant St
Brockton, MA 02301
Phone (508) 588-0094

Interoperability endpoints

  • Direct secure messaging: msegura244660@direct.bostonchildrens.org

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811018922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLAGE DR",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690946",
            "telephone_number": "617-472-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PLEASANT ST.",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02401",
            "telephone_number": "508-588-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURA",
        "first_name": "MARIA",
        "middle_name": "LUCIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "19883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.