What is Ethan Segerstrom's NPI number?

Ethan Segerstrom's National Provider Identifier (NPI) is 1649162017, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Segerstrom's specialty?

Ethan Segerstrom is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Ethan Segerstrom located?

Ethan Segerstrom's practice location on file with NPPES is 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802.

What is Ethan Segerstrom's phone number?

The practice phone number listed in the NPPES registry for Ethan Segerstrom is (757) 953-9000.

Is Ethan Segerstrom's NPI active?

Yes — Ethan Segerstrom's NPI (1649162017) is active in the NPPES registry as of the last update on 2025-07-18.

IndividualActive

Ethan Segerstrom, DDS

NPI 1649162017 · General Practice Dentistry · Norfolk, VA

Ethan Segerstrom, DDS is a General Practice Dentistry provider in Norfolk, VA (NPI 1649162017).

Provider details

NPI number: 1649162017
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: DDS-10368 (IA)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense DDS-10368 (IA)
Dental Providers

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1721 Admiral Taussig Blvd

Norfolk, VA 23511-2802

Phone: (757) 953-9000

Street-level locationGet directions

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Mailing address