Lisiane Ferreira-Susin, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DNF000358 Issued in GA

Practice address

501 Eastowne Dr Ste 155
Chapel Hill, NC 27514-6231

Phone

(919) 403-5000

NPI assigned

Jan 27, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: lferreirasusin540307@direct.unc.nchie.net

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.

• Au Dental Associates

  • Dentist
  • Augusta, GA
  • NPI 1457541781
  NPD (past)

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1407152218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 JOHN WESLEY GILBERT DR",
            "address_2": "GC-1024",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 EASTOWNE DR STE 155",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146231",
            "telephone_number": "919-403-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREIRA-SUSIN",
        "first_name": "LISIANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DNF000358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZG0358",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas William Ferkol Jr., MD
• Rodolfo Fernandez-Criado, MD, MPH
• Jainette Fernandez, CRNA
• Aubrey Tsao Fernando, RN, MSNA
• Romuald Ferre
• Kathleen Ann Ferrell, PA-C, MPAS
• Stefanie Ferreri, PHARMD, CDE
• James Patrick Ferrick, DO
• Sarah Ferroni, MD
• Rachel Feuer, PH.D.

• Endodontics in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.