Individual provider Active NPI

Susan Almusa

  • Dentist
  • Columbia, MD
National Provider Identifier
1427114149
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14648 Issued in MD
Practice address
8860 Columbia 100 Pkwy Ste 106
Columbia, MD 21045-2286
Phone
(410) 884-5833
Fax
(410) 884-5836
NPI assigned
Dec 28, 2006
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14648 MD Primary
General Practice Dentistry 1223G0001X 5515 WI

Addresses

Primary practice location

8860 Columbia 100 Pkwy Ste 106
Columbia, MD 21045-2286

Mailing address

2200 Arch St Ste 102
Philadelphia, PA 19103-1353
Phone (215) 561-3363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14648MDMDDentist
5515WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SBS Dental Associates PA LLC Dentist CurrentSince Feb 27, 2022 Accepting new patients
Judd Dentistry PA General Practice Past Accepting new patients

Locations

2200 Arch St
Ste 102
Philadelphia, PA 19103
Phone (215) 515-2881

Organizations & group practices 2

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1427114149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 ARCH ST STE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031353",
            "telephone_number": "215-561-3363",
            "fax_number": "215-561-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PKWY STE 106",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452286",
            "telephone_number": "410-884-5833",
            "fax_number": "410-884-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMUSA",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14648",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5515",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.