Susannah Chrysostom Shirer, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DGD.4714 GD Issued in SC

Practice address

420 Hitchcock Pkwy
Aiken, SC 29801-3398

Phone

(803) 648-6400

NPI assigned

Jun 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shirer Family Dentistry GPS LLC

  dba Shirer Family Dentistry

  • General Practice Dentistry
  • Aiken, SC
  • NPI 1932081486
  NPD (past) Authorized official
• Shirer Family Dentistry LLC

  • General Practice Dentistry
  • Aiken, SC
  • NPI 1003296757
  NPD (past)

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1083925911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HITCHCOCK PKWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013398",
            "telephone_number": "803-648-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HITCHCOCK PKWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013398",
            "telephone_number": "803-648-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRER",
        "first_name": "SUSANNAH",
        "middle_name": "CHRYSOSTOM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.4714 GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlee Cathlean Shiffner
• Hannah M Shirah, DPT
• Shirer Family Dentistry GPS LLC (Shirer Family Dentistry)
• Shirer Family Dentistry LLC
• Michael Perry Shirer Jr., DMD
• Holly Lynne Shurtleff, OT
• George Sich III, D.P.M.
• Debra D Sidberry
• Yvonne Siddall, LPC
• Emily Siebach

• General Practice Dentistry in Aiken, SC
• Providers in Aiken, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.