Susan Kaye Pedott, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

24500 Issued in TX

Practice address

5020 FM 1960 Rd W
Ste. B1
Houston, TX 77069-4519

Phone

(610) 216-9609

Fax

(281) 232-9890

NPI assigned

Jul 20, 2006

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

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 8, 2016 through Apr 8, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1063432565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 SW MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211535",
            "telephone_number": "610-216-9609",
            "fax_number": "281-232-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 FM 1960 RD W",
            "address_2": "STE. B1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694519",
            "telephone_number": "610-216-9609",
            "fax_number": "281-232-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDOTT",
        "first_name": "SUSAN",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS030073-L",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "24500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of Texas Billing, Inc.
• Bethany B Pedley, PA-C
• Chad A. Pedley
• Greesha Pednekar, M.D.
• Manali Pednekar, MD
• Silvana G Pedra Nobre, MD
• Mojgan Pedram
• Clayton B Pedrick, M.D.
• Pedro M. Arguello, M.D. PA
• Pedro M. Caram, M.D.,P.a.

• Endodontics in Houston, TX
• Providers in Houston, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.

Verify at the official NPI Registry.