Susan Patricia Alexander, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

010295 Issued in GA

Practice address

3020 Roswell Rd Ste 130
Marietta, GA 30062-4987

Phone

(770) 509-2310

Fax

(770) 993-5987

NPI assigned

May 27, 2008

Sex

Female

Sole proprietor

Yes

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 GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Susan Alexander, DMD, PC

  • Periodontics
  • Marietta, GA
  • NPI 1992847610
  NPD (past) Authorized official

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1104084235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 ROSWELL RD STE 130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624987",
            "telephone_number": "770-509-2310",
            "fax_number": "770-993-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 ROSWELL RD STE 130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624987",
            "telephone_number": "770-509-2310",
            "fax_number": "770-993-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "SUSAN",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "010295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolia Alexander
• Khrysta Alexander
• Lisa Alexander, NURSE PRACTITIONER
• Neppsi Pauline Alexander, NP
• Robert Ross Alexander, PHARM D
• Lakesha Alexis, NP-C
• Alfred M. Long, Jr., O.D., LLC
• Alaa Alghalayini, DO
• Husain Ali-Khan, M.D. D.M.D.
• Anisa Ali, PA

• Periodontics in Marietta, GA
• Providers in Marietta, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.