JOSE L OLIVER SEGARRA
NPI 1013758994
Dentist - General Practice in Saint Louis, MO
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 general practice provider in Saint Louis, Missouri, licensed in Missouri (2025052674) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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).
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.
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.
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
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, specializing in General Practice, with taxonomy code 1223G0001X.
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 July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 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.
# Jose L Oliver Segarra · NPI 1013758994
General Practice provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since June 4, 2024.
## Identity
- **NPI:** 1013758994 (Entity type: Individual)
- **Enumerated:** June 4, 2024
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 2025052674 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 615 S NEW BALLAS RD, Saint Louis, MO 63141-8221
- **Phone:** (314) 251-6382
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013758994) · Data from the CMS NPPES public registry.