Individual provider Active NPI

Susan Rink, D.M.D.

  • General Practice Dentistry
  • Dalton, PA
National Provider Identifier
1164636767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS02374L Issued in PA
Practice address
112 North Turnpike Road
Dalton, PA 18414
Phone
(570) 563-2568
Fax
(570) 563-8289
NPI assigned
May 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DS02374L PA Primary

Addresses

Primary practice location

112 North Turnpike Road
Dalton, PA 18414

Mailing address

PO Box 218
Dalton, PA 18414-0218
Phone (570) 563-2568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160419000899 PA Order and Referring Only - DentistPractitioner - Dentist 2961700356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS02374LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Susan E Rink, D.M.D., P.C. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164636767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "DALTON",
            "state": "PA",
            "postal_code": "184140218",
            "telephone_number": "570-563-2568",
            "fax_number": "570-563-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 NORTH TURNPIKE ROAD",
            "city": "DALTON",
            "state": "PA",
            "postal_code": "18414",
            "telephone_number": "570-563-2568",
            "fax_number": "570-563-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINK",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS02374L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, PA

Sources for this page

Verify at the official NPI Registry.