Active NPI
James B Segulyev, D.D.S.
- Dentist
- Dallas, TX
National Provider Identifier
1821207705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 48993
- Practice address
- 14785 Preston Rd Ste 790
Dallas, TX 75254-7875 - Phone
- (972) 661-3666
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 48993 | CA | Primary |
Addresses
Primary practice location
14785 Preston Rd Ste 790
Dallas, TX 75254-7875
Mailing address
14785 Preston Rd Ste 790
Dallas, TX 75254-7875
Phone (972) 661-3666
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
| License | State | Type | Specialty |
|---|---|---|---|
| 48993 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Segulyev DDS PLLC | Current | Accepting new patients | |
| Rafik Meserkhani & Yvette M Gulesserian D.D.S Inc. | Dentist | Past | Accepting new patients |
| Chan and Segulyev Dental Corporation | Dentist | Past | Accepting new patients |
Locations
14785 Preston Rd
Ste 790
Dallas, TX 75254
Phone (972) 661-3666
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Dallas, TX
- NPI 1013678465
-
- Oral and Maxillofacial Surgery Clinic/Center
- Burbank, CA
- NPI 1346458114
Dentist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1821207705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14785 PRESTON RD STE 790",
"city": "DALLAS",
"state": "TX",
"postal_code": "752547875",
"telephone_number": "972-661-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14785 PRESTON RD STE 790",
"city": "DALLAS",
"state": "TX",
"postal_code": "752547875",
"telephone_number": "972-661-3666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGULYEV",
"first_name": "JAMES",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "48993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.