NPIMap

Organization Active NPI

Steven W Segall DDS SC

  • Periodontics
  • Madison, WI
National Provider Identifier
1265501787
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
5001279015 Issued in WI
Legal business name
STEVEN W SEGALL DDS SC
Practice address
4002 Monona Drive
Madison, WI 53716-1138
Phone
(608) 222-4777
Fax
(608) 222-2532
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Dr. Steven Walter Segall, DDS MSNPI 1740437151
Title
President
Phone
(608) 222-4777

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
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 5001279015 WI Primary

Addresses

Primary practice location

4002 Monona Drive
Madison, WI 53716-1138

Mailing address

4002 Monona Drive
Madison, WI 53716-1138
Phone (608) 222-4777

National Provider Directory

National Provider Directory

Locations

4002 Monona Dr
Madison, WI 53716
Phone (608) 222-4777

Practitioners & affiliated clinicians

Practitioners 2

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1265501787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 MONONA DRIVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537161138",
            "telephone_number": "608-222-4777",
            "fax_number": "608-222-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 MONONA DRIVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537161138",
            "telephone_number": "608-222-4777",
            "fax_number": "608-222-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN W SEGALL DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "SEGALL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-222-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WI",
            "license": "5001279015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.