Organization Active NPI

Susan S. Altman, D.M.D. P.S.C.

  • General Practice Dentistry
  • Pikeville, KY
National Provider Identifier
1184996035
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6195 Issued in KY
Legal business name
SUSAN S. ALTMAN, D.M.D. P.S.C.
Practice address
419 Town Mountain Rd
Suite 200
Pikeville, KY 41501-1631
Phone
(606) 437-4848
Fax
(606) 437-4848
NPI assigned
Feb 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Michele Slone
Title
Office Manager
Phone
(606) 437-4848

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 6195 KY
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6195 KY Primary

Addresses

Primary practice location

419 Town Mountain Rd
Suite 200
Pikeville, KY 41501-1631

Mailing address

419 Town Mountain Rd
Suite 200
Pikeville, KY 41501-1631
Phone (606) 437-4848

Other identifiers 2

IdentifierTypeStateIssuer
4500355500MedicaidKY
60061959MedicaidKY

National Provider Directory

National Provider Directory

Locations

419 Town Mountain Rd
Ste 200
Pikeville, KY 41501
Phone (606) 213-6867

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1184996035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 TOWN MOUNTAIN RD",
            "address_2": "SUITE 200",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011631",
            "telephone_number": "606-437-4848",
            "fax_number": "606-437-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 TOWN MOUNTAIN RD",
            "address_2": "SUITE 200",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011631",
            "telephone_number": "606-437-4848",
            "fax_number": "606-437-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN S. ALTMAN, D.M.D. P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "SLONE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "606-437-4848"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "6195",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4500355500",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60061959",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.