Individual provider Active NPI

Yanina A Cox, D.M.D

  • General Practice Dentistry
  • Greer, SC
National Provider Identifier
1124306691
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7051 Issued in SC
Practice address
103A Regency Commons Dr
Greer, SC 29650-5210
Phone
(864) 801-8877
Fax
(864) 801-8897
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7051 SC Primary

Addresses

Primary practice location

103A Regency Commons Dr
Greer, SC 29650-5210

Mailing address

103A Regency Commons Dr
Greer, SC 29650-5210
Phone (864) 801-8877

Other names 1

  • Ms. Yanina A Susko Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150729009568 SC Order and Referring Only - DentistPractitioner - Dentist 9537473954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7051SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Marcello, D.M.D, L.L.C. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1124306691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103A REGENCY COMMONS DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505210",
            "telephone_number": "864-801-8877",
            "fax_number": "864-801-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103A REGENCY COMMONS DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505210",
            "telephone_number": "864-801-8877",
            "fax_number": "864-801-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "YANINA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "7051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YANINA",
            "last_name": "SUSKO",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.