Edward H Segal, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Practice address

1500 Shermer Rd
Suite 340W
Northbrook, IL 60062-5340

Phone

(847) 498-5630

Fax

(847) 498-8801

NPI assigned

Oct 1, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edward H. Segal, D.D.S., LTD.

  • Periodontics
  • Northbrook, IL
  • NPI 1134143977
  NPD (past) Authorized official

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

{
    "created_epoch": "1128124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467449751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SHERMER RD",
            "address_2": "SUITE 340W",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625340",
            "telephone_number": "847-498-5630",
            "fax_number": "847-498-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SHERMER RD",
            "address_2": "SUITE 340W",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625340",
            "telephone_number": "847-498-5630",
            "fax_number": "847-498-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "EDWARD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allycia D Scott
• Philip Lawrence Searby, DPM
• Shelby Seele, RBT-1977468
• Gillian Rae Seeley
• Alison Segal, LPC
• Howard Michael Segal, M.D.
• Emily Seguin
• Tara Seiden, LCSW
• Valerie Ann Seiffe, M.S. SLP
• Select Wellness Chiropractic, LLC

• Periodontics in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.