Individual provider Active NPI

Steven Walter Segall, DDS MS

  • Periodontics
  • Madison, WI
National Provider Identifier
1740437151
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
5001279-015 Issued in WI
Practice address
4002 Monona Drive
Madison, WI 53716-1138
Phone
(608) 222-4777
Fax
(608) 222-2532
NPI assigned
Aug 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 5001279-015 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20170915000148 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2264610484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5001279-015WIMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven W Segall DDS SC Periodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1740437151",
    "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": {
        "last_name": "SEGALL",
        "first_name": "STEVEN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WI",
            "license": "5001279-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.