Colleen Elizabeth Segall, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

36525 Issued in TX

Practice address

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

Phone

(254) 224-6008

NPI assigned

Sep 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Colleen Elizabeth O'Neill Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Locations

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.

• Segall Smiles PLLC

  • Dental Clinic/Center
  • Lubbock, TX
  • NPI 1235937327
  NPD Authorized official
• Hewitt Kids Dental PC

  • Dental Clinic/Center
  • Woodway, TX
  • NPI 1205550142
  NPD (past)

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1558762500",
    "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"
        },
        {
            "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": "254-224-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGALL",
        "first_name": "COLLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02580800",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "36525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "O'NEILL",
            "middle_name": "ELIZABETH",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fred Gregory Sebastian IV, PA-C
• Cathy Sebring, BC-HIS
• Robert Vicente Sedillo Jr.
• Ross Sedler, MD
• Segall Smiles PLLC
• Michael David Segall, DMD, MS
• Michael Anthony Seger, MD
• Sharmila Sehli, MD
• Sandra Michelle Seidel, NP
• Abdelrahman M Seif, MD

• Pediatric Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.