Organization Active NPI

Kenneth M. Segal, DPM, LTD

  • Podiatrist
  • Providence, RI
National Provider Identifier
1932231396
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
KENNETH M. SEGAL, DPM, LTD
Practice address
677 Hope Street
Providence, RI 02906-2651
Phone
(401) 421-7466
Fax
(401) 751-3883
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Dr. Kenneth M Segal, DPM
Title
Podiatrist
Phone
(401) 421-7466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

677 Hope Street
Providence, RI 02906-2651

Mailing address

677 Hope Street
Providence, RI 02906-2651

Other identifiers 1

IdentifierTypeStateIssuer
9007194MedicaidRI

National Provider Directory

National Provider Directory

Locations

677 Hope St
Providence, RI 02906
Phone (401) 421-7466

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1932231396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 HOPE STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 HOPE STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062651",
            "telephone_number": "401-421-7466",
            "fax_number": "401-751-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M. SEGAL, DPM, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "401-421-7466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007194",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.