Organization Active NPI

Segelnick Specialists, LLC

Doing business as Mini Mouths

  • Pediatric Dentistry
  • Coral Springs, FL
National Provider Identifier
1851643415
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN15865 Issued in FL
Legal business name
SEGELNICK SPECIALISTS, LLC
Doing business as
Mini Mouths
Practice address
5481 N University Dr
Suite 102
Coral Springs, FL 33067-4643
Phone
(954) 575-5488
NPI assigned
Oct 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Authorized official

Name
Dr. Andrew Segelnick, D.M.D
Title
Owner
Phone
(954) 609-5681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN15865 FL Primary

Addresses

Primary practice location

5481 N University Dr
Suite 102
Coral Springs, FL 33067-4643

Mailing address

5481 N University Dr
Suite 102
Coral Springs, FL 33067-4643

Other names 1

  • Mini Mouths Doing business as

National Provider Directory

National Provider Directory

Locations

5481 N University Dr
Ste 102
Coral Springs, FL 33067
Phone (954) 575-5488

600 N Hiatus Rd
Ste 103
Pembroke Pines, FL 33026
Phone (954) 430-2580

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1851643415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5481 N UNIVERSITY DR",
            "address_2": "SUITE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5481 N UNIVERSITY DR",
            "address_2": "SUITE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674643",
            "telephone_number": "954-575-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGELNICK SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "SEGELNICK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-609-5681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN15865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mini Mouths",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.