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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOSE L OLIVER SEGARRA
NPI 1013758994
Dentist in Saint Louis, MO

Active since June 04, 2024PECOS Enrolled
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141(314) 251-6382 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 17, 2026, Aug 11, 2026, Jul 13, 2026 and 4 more (7 updates tracked since 2024).

About Jose L Oliver Segarra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE L OLIVER SEGARRA (NPI 1013758994) is an individual dentist in Saint Louis, Missouri, licensed in Missouri (2025052674) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1013758994
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJOSE L OLIVER SEGARRA
Location Address615 S NEW BALLAS RDSaint Louis, MO 63141-8221
Mailing AddressPo Box 776084Chicago, IL 60677-6084 · (314) 251-6382
Phone(314) 251-6382
Sole ProprietorYes
Enumeration DateJune 4, 2024
Last NPPES UpdateAugust 17, 20267 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1013758994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2025052674
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
615 S NEW BALLAS RD, Saint Louis, MO 63141
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Secondary Practice Location 1

Location 1621 S New Ballas Rd Ste 10ASaint Louis, MO 63141-8239 · Phone (314) 251-5775

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose L Oliver Segarra is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PATRICIA ANN RICE APN
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
MARY BETH WALKER FNP
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
LOVEPREET SINGH RANDHAWA MD
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
DR. CONNOR ROBERT REIS DO
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6930
MR. SHEBY THOMAS AA-S
Anesthesiologist Assistant
615 S NEW BALLAS RD, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
CAREN BIRKENKAMP PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
ANAS M HASIC MD
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 509-5305
EMILY ANNE CREWS
Nurse Anesthetist, Certified Registered
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Oliver Segarra's NPI number?

The NPI number for Jose Oliver Segarra is 1013758994. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Where is Jose Oliver Segarra located?

Jose Oliver Segarra practices at 615 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (314) 251-6382.

What is Jose Oliver Segarra's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jose Oliver Segarra enrolled in Medicare?

Yes. Jose Oliver Segarra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jose Oliver Segarra was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.