Individual provider Active NPI

Leon Carl Segars, DMD

  • General Practice Dentistry
  • Charleston, SC
National Provider Identifier
1639158371
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2381 Issued in SC
Practice address
1123 Ashley River Rd
Charleston, SC 29407-7107
Phone
(843) 402-9595
Fax
(843) 763-3599
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2381 SC Primary

Addresses

Primary practice location

1123 Ashley River Rd
Charleston, SC 29407-7107

Mailing address

40 Fairway Oaks LN
Isle of Palms, SC 29451-2832
Phone (843) 886-8082

Other identifiers 1

IdentifierTypeStateIssuer
Z23813MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20160613001753 SC Order and Referring Only - DentistPractitioner - Dentist 1658661145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639158371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FAIRWAY OAKS LN",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512832",
            "telephone_number": "843-886-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077107",
            "telephone_number": "843-402-9595",
            "fax_number": "843-763-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGARS",
        "first_name": "LEON",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z23813",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.