Susan M Minchin DDS, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

056710 Issued in NY

Legal business name

SUSAN M MINCHIN DDS, P.C.

Practice address

602 W Water St
Elmira, NY 14905-2410

Phone

(607) 733-0830

Fax

(607) 733-0830

NPI assigned

Jan 29, 2015

Organization subpart

No

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

Authorized official

Name

Susan Minchin, DDSNPI 1366702300

Title

Owner

Phone

(607) 733-0830

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Susan M Minchin, DDS

  • Dentist
  • Elmira, NY
  • NPI 1366702300
  NPD (past) Authorized official
• Mark G Schuller, D.D.S.

  • Dentist
  • Elmira, NY
  • NPI 1487643771
  NPD (past)

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1346630233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052410",
            "telephone_number": "607-733-0830",
            "fax_number": "607-733-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052410",
            "telephone_number": "607-733-0830",
            "fax_number": "607-733-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M MINCHIN DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "MINCHIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-733-0830",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lee Summers, LMSW
• Annie E Sumrall, PPCMHNP
• Marsha E Sundman, P.A.
• Harsha Vardhan Surath, MBBS, MS
• Bruce Allen Surosky, M.D.
• Sarah Sutryk
• Bryon Swartout
• Jody Swartout, P.T.
• Alexis E Swartz, NP
• Michelle Swift-Bright, MSPT, DPT

• General Practice Dentistry in Elmira, NY
• Providers in Elmira, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.