Susan Dewood, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D011528 Issued in AZ

Practice address

5030 W Baseline Rd Ste 131
Laveen, AZ 85339-7331

Phone

(602) 237-8880

NPI assigned

Jul 3, 2019

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 TX

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

Specialty

Dentist

Education

University of Michigan School of Dentistry, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sdewood834697@direct.ochin.org

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.

• Salt River Pima-Maricopa Indian Community

  dba Salt River Integrated Health Care

  • Community Health Clinic/Center
  • Scottsdale, AZ
  • NPI 1942668991

  TX

  Medicare reassignment NPD
• Susan Dewood DDS PLLC

  • Dentist
  • Mesa, AZ
  • NPI 1891646634
  NPD Authorized official
• Dynamic Dental Health Associates of Arizona

  dba Prime Family Dental

  • General Practice Dentistry
  • Laveen, AZ
  • NPI 1376974352
  NPD
• Salt River Pima-Maricopa Indian Community

  • Community/Behavioral Health Agency
  • Scottsdale, AZ
  • NPI 1497000293
  NPD
• Salt River Pima-Maricopa Indian Community

  dba Department of Health and Human Services

  • Community Health Clinic/Center
  • Scottsdale, AZ
  • NPI 1538583125
  NPD
• Dugas Dental, Inc

  dba Dugas Dental - Family and Cosmetic Dentistry

  • Dental Clinic/Center
  • Lewis Center, OH
  • NPI 1467013615
  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1114589710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 W BASELINE RD STE 131",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397331",
            "telephone_number": "022-378-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 W BASELINE RD STE 131",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397331",
            "telephone_number": "602-237-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWOOD",
        "first_name": "SUSAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.