Active NPI
Susan Adele Armstrong, DDS
- Pediatric Dentistry
- Moorestown, NJ
National Provider Identifier
1063406403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22DI02197700
- Practice address
- 9 E Main St
Moorestown, NJ 08057-3382 - Phone
- (856) 235-0415
- Fax
- (856) 235-4787
- NPI assigned
- Aug 31, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS036117 | PA | |
| Pediatric Dentistry | 1223P0221X | 22DI02197700 | NJ | Primary |
Addresses
Primary practice location
9 E Main St
Moorestown, NJ 08057-3382
Mailing address
9 E Main St
Moorestown, NJ 08057-3382
Phone (856) 235-0415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101201070 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 8, 2018 through May 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02197700 | NJ | MD | Pediatric Dentist |
| DS036117 | PA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231977600000",
"number": "1063406403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 E MAIN ST",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573382",
"telephone_number": "856-235-0415",
"fax_number": "856-235-4787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 E MAIN ST",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573382",
"telephone_number": "856-235-0415",
"fax_number": "856-235-4787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMSTRONG",
"first_name": "SUSAN",
"middle_name": "ADELE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS036117",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI02197700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101201070",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moorestown, NJ
- Apexmed Supply
- Arc of Camden County Main Street Supported Living
- Arc of Camden County- Moorestown Supported Living
- Caitlin Archibald, MS, LPC, NCC, ACS
- Armstrong Pediatric Dental, LLC
- Carol Anne Arthars, D.C.
- Farah Ashraf, DO
- Asrm, LLC
- Associated Retinal Consultants LLC
- Associated Retinal Consultants LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.