Organization Active NPI

Segall Smiles PLLC

  • Dental Clinic/Center
  • Lubbock, TX
National Provider Identifier
1235937327
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SEGALL SMILES PLLC
Practice address
6102 82ND St Ste 2
Lubbock, TX 79424-0803
Phone
(806) 792-2288
Fax
(806) 792-2768
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Dr. Colleen Segall, DMDNPI 1558762500
Title
Pediatric Dentist
Phone
(570) 573-9365

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6102 82ND St Ste 2
Lubbock, TX 79424-0803

Mailing address

6102 82ND St Ste 2
Lubbock, TX 79424-0803
Phone (806) 792-2288

Other identifiers 2

IdentifierTypeStateIssuer
1376890467OtherTXISSUED BY MILITARY
1558762500OtherISSUED BY MILITARY

Other names 1

  • Double T Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

6102 82nd St
Ste 2
Lubbock, TX 79424
Phone (254) 224-6008

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": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1235937327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 82ND ST STE 2",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240803",
            "telephone_number": "806-792-2288",
            "fax_number": "806-792-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 82ND ST STE 2",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240803",
            "telephone_number": "806-792-2288",
            "fax_number": "806-792-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGALL SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "SEGALL",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "570-573-9365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ISSUED BY MILITARY",
            "identifier": "1376890467",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ISSUED BY MILITARY",
            "identifier": "1558762500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Double T Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.