Active NPI
Susan Almusa
- Dentist
- Columbia, MD
National Provider Identifier
1427114149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14648
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14648 | MD | MD | Dentist |
| 5515 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SBS Dental Associates PA LLC | Dentist | Current | 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.
-
- General Practice Dentistry
- Columbia, MD
- NPI 1679629828
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.