Organization Active NPI

Maikel Segui DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Coral Springs, FL
National Provider Identifier
1891037362
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN16491 Issued in FL
Legal business name
MAIKEL SEGUI DDS PA
Practice address
2123 N University Dr
Coral Springs, FL 33071-6134
Phone
(954) 752-9065
NPI assigned
Mar 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Maikel Segui, DDSNPI 1023219771
Title
Owner
Phone
(954) 752-9065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DN16491 FL Primary

Addresses

Primary practice location

2123 N University Dr
Coral Springs, FL 33071-6134

Mailing address

2123 N University Dr
Coral Springs, FL 33071-6134
Phone (954) 752-9065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130513000236 FL Part B Supplier - Clinic/Group Practice 7214174143 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Gables, FL; Coral Springs, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

3860 SW 8th St
Ste 201
Coral Gables, FL 33134
Phone (305) 446-8511

2123 N University Dr
Coral Springs, FL 33071
Phone (954) 341-4766

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1891037362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716134",
            "telephone_number": "954-752-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716134",
            "telephone_number": "954-752-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIKEL SEGUI DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "SEGUI",
        "authorized_official_first_name": "MAIKEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-752-9065",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN16491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.